HomeMy WebLinkAboutBuilding Permit Application870159 TMO-KYOO A2P003613 SGA, ,
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: C)1(50 � -C 4—q(o
Building Permit Application I APR 2 3 2020
Planning and Development Services ST. Lucie County,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Building
PROPOSED IIVI'PROVEMENT LOCATION:
Address: 1100 Dyer Road
Property Tax ID #: 34-14-501-0713-2506
Site Plan Name:
Project Name: T-Mobile Gen 870159
DETAILED DESCRIPTION OF WORK
new 25kw diesel generator to be installed with a 211 gallon diesel tank.
CONSTRUCTION; INFORMATION:..
Lot No.
Block No.
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric _ Plumbing _ Sprinklers X Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,000
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR: '
Name Crown Castle
Name: Dan Ault
Address: 6420 Congress Ave Suite 2000
Company: Olin Wayne Companies, Inc
City: Boca Raton State: FL
Address: 3060 Orange Grove Trail
Zip Code: 33487 Fax:
City: Naples State: FL
Phone No. 561-544-4965
Zip Code: 34120 Fax:
E-Mail: sflpermits@crowncastle.com
Phone No 239.776.5884
Fill in fee simple Title Holder on next page ( if different
E-Mail sflpermits@crowncastle.com
from the Owner listed above)
State or County License CGC1522173
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Name:
Address:
City:
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Global Signal services LLc
Address: 4017 Washington Rd
City: McMurray, PA
Zip: 15317 Phone:
IVIVKIUMUC I.VIVI1'HIVT: _ ivut HppllcaL)le
Name: T
Address:
City: - State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat7ur4 of C tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF c�Im J Q� I!�
COUNTY OF a I"
The r ing instrt wa acknowledggd before me
this day of 1�'li 20C�y
C)a6ae a
The f ing instru gnt was acknowledged before me
this ay of �I 20 16by
Name of person making .
Name of person making statement.
(statemen
\ Personally Known " OR Produc\\�1+f nj���i on
Type of Prod ced Identification \\����� �pA S. gp�F����i
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Personally Known OR Produced\\ rillliawho
ed pe of Identification \\�� .......
Produced
(Signatu a of Notary Public- S15tt6fflor ,�30873 i
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Commission No. 4�aj�.•�0���
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(Signatur 6y ko�tary Public- State c2.lt*a
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Commission No. �ii1��f/I_C A; \\O\��
ON
ZIC S �Id 11
REVIEWS
FRONT
"refill
ZONING
I
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19