HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll 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 X ----"----------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8701 ORANGE AVE
Property Tax ID#: 2311-320-0000-000-4 Lot No. ___ _
Site Plan Name: _________________________ _ Block No. __ _
Project Name: VERIZON WIRELESS ANTENNA UPGRADE VZW 237545 CROWN 813812
I DETAILED DESCRIPTION OF WORK:
New Electrical Meter ____ Second Electrical Meter ______ (Affidavit required)
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Shutters Windows/Doors Pond _Mechanical
yElectric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers Generator Roof ____ Pitch
Total Sq. Ft of Construction: _ _,_1=00.,__ ____ _ Sq. Ft. of First Floor: _________ _
Cost of Construction: $----=2=0'-'-0=0:..::0'------Utilities: Sewer _ Septic Building Height: ___ _
OWNER/LESSEE:
Name CROWN CASTLE SOUTH, LLC
Address: 2000 CORPORATE DRIVE
City: CANONSBURG
Zip Code: 15317 Fax:
Phone No. 954-263-8764
E-Mail: kesha.dejesus@towerquest.com
State: PA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: PAVEL REDKO
Company: ADVANCED COMMUNICATIONS TECHNOLOGY
Address: 15188 PARK OF COMMERCE BLVD, STE 11
City: JUPITER State:�
Zip Code: 33478 Fax:
Phone No 954-263-8764
E-Mail kesha.dejesus@towerguest.com
State or County License CGC15121987
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.
TOWER SCOPE OF WORK: REMOVE (3) ANTENNAS, REMOVE (3) RRUs, INSTALL (9) ANTENNAS, INSTALL (6) RRUs, REMOVE (6) TMAs,
REMOVE (6) DIPLEXERS, INSTALL (1) OVP, REMOVE (6), 1-5/8" COAX CABLES, INSTALL (1) 1-5/8" HYBRID CABLE, INSTALL (9) CROSSOVER
PLATES, INSTALL (3) TIEBACK ASSEMBLIES, INSTALL (3) V-BRACING KITS. GROUND SCOPE OF WORK: REMOVE (1) 6201 CABINET,
INSTALL (1) 19" RACK