HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 2020 Permit Number:-1 d3 `5
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application JUL 15 2020
ST. Lucie County, Permitting
Commercial x Residential
PERMIT TYPE: FDOT -Communications tower modifications
PROPOSED IIfVI�PROVEMIEN "LOCATION:
Address: OkeecJ ee Rd k, c ce L 3 �� ty:: 1 Ali Lz
41
Property Tax ID #: 2326 111 0000-010-1 Lot No.
Site Plan Name: Fort Pierce Interchange Site - Okeechobee Rd Block No.
Project Name: Florida's Turnpike Enterprise (FTE) Self -Supporting Tower Modifications and Refurbishments
DETA6LED"DESC�RIIPTI ,, N,�OF,,WO:RK:
Modification and refurbishment of Florida Turnpike Enterprise self-supporting telecommunications tower and
radio antenna systems at Fort Pierce interchange site for FDOT
CONSTRUCTION IINfFORIVIATION: "
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 366,735.72 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FDOT - Florida's Turnpike
Address: P.O. Box 9828
Name: Lesley Noreen Liarikos
Company: Tower Systems South Inc
City: Ft. Lauderdale State: —FL—
Zip Code: 33310 Fax:
Phone No. 850-410-5600
Address: 3075 North Forsyth Rd
City: Winter Park State: FL
Zip Code: 32792 Fax:
Phone No 407-681-0500
E-Mail: Danielle. morales@dot.state.fl.us
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Lliarikos@towersystems.com
State or County License CGC 1528645
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.
SUiPPLEMT, ENTAt CONSTRUCTION LIEN LAU1/ INFCa7RMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 A TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
�L C�
Signatu of Ow er/ L se ontractor as Agent for Owner
Sig ature ; —con actor/License Holder
STATE OF FLO A
COUNTY OF ` C�.I rY1 L' Ct-c -
STATE OF ORIDA
COUNTY OF�1( 1C�A-
91
The forMng instrtliment was acknowledged before me
this day of 4 1 A Yl 207-0by
The forgoing instrument was acknowledged before me
this -A day of 202 by
Name of per n making statement.
Name of person maka'ngjtatement.
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Nota lic at! f i..Stya
Public State of Florida
0 ey
(Signature of Notary Pu I' - t oi'dF,1�0� .
r My Commi sion GG 985363
Commission No. 1orti Expires0510612024
(Si ature of off' `blic-(MT* !pi
`..,an° My Comm. Ex n!s-May 1 , 2024
Commission N Bonded through National Natar Assn.
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FRONT
ZONING
SUPERVISOR
PLANS
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MANGROVE
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REVIEW
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DATE
1z
RECEIVED
DATE
COMPLETED
ev. 2/7/19