HomeMy WebLinkAboutBuilding Permit App_01-10-2022All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _______ _ Permit Number: ________ _
Building Permit Application
Planning and Development Services
Residential Building and Code Regulation Division Commercial -----------
2300 Virginia Avenue, Fort Pierce Fl 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding ___ _
PERMIT APPLICATION FOR:
PROPOSED IIVIPROVEMENTLOCAJtQN:
Address: ____________________________________ _
Property Tax ID#: _________________________ _ Lot No. ___ _
Site Plan Name: __________________________ _ Block No. __ _
Project Name: __________________________________ _
New Electrical Meter ____ Second Electrical Meter ______ (Affidavit required)
I CONSTRUCTION 1NFORJv1AjlON:
Additional work to be performed under this permit -check all that apply:
_Mechanical
Electric
Gas Tank
_Plumbing
_Gas Piping
_ Sprinklers
Shutters _ Windows/Doors
Generator Roof ----
Pond
Pitch
Total Sq. Ft of Construction: _______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction:$ ---------Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LES�EE: CONTRACTOR:
Name_________________ Name: _______________ _
Address:________________ Company: ______________ _
City: ______________ State: Address: _______________ _
Zip Code: ______ Fax:________ City: ____________ State:
Phone No. _______________ E-Zip Code: _______ Fax: ______ _
Mail: Phone No ______________ _
Fill in fee simple Title Holder on next page (if different E-Mail. ________________ _
from the Owner listed above) State or County License __________ _
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
01/10/2022
375 E. Midway Road
SBA MIDWAY ROAD
Antenna Modifications to existing cell tower and generator swap
ADVANCED COMMUNICATIONS TECHNOLOGY INC
Pavel Redko
Jupiter FL
15188 Park of Commerce Blvd, Suite 11 Jupiter, FL 33478
33478
561-771-6677
kristee@advancedcommtech.net
Verizon Wireless
4700 Exchange Ct. Boca Raton, FL 32667
Boca Raton FL
32667
704-681-1805
mleak@tepgroup.net
SBA Towers II LLC
8051 Congress Ave
Boca Raton
33487