HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 2-28-22All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/27/2022 Permit Number: Associated wi building permit # 2201-0428
Building Permit Application
Planning and Development Services V
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Existing Telecmmunications Tower
PROPOSED IMPROVEMENT LOCATION:
Address: Turnpike and Exit 152 Fort Pierce, FL 34945
PropertyTax ID #: 2326-111-0000-010-1 Lot No.
Site Plan Name: TPK FT. PIERCE - 94300 Block No.
Project Name: TPK FT. PIERCE
DETAILED DESCRIPTION OF WORK:
Removing 30kw LP generator, adding _50kw generator.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical
V Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction,
Cost of Construction: $ 10,000.00
Gas Piping
Sprinklers
(Affidavit required)
Shutters _ Windows/Doors Pond
V Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name American Tower Corporation
Name: Pavel Redko
Company: Advanced Communications Technology
Address: 10 Presidential Way
City: Woburn State: MA
Address: 15188 Park of Commerce Blvd. STE 111
Zip Code: 01801 Fax:
City: Jupiter State: FL
Phone No. 781-926-4500 E-
Zip Code: 33478 Fax:
Mail: vartan.kazandiian americantower.com
Phone No 561-771-6677
E-Mail kristee@advancedcommtech.net
Fill in fee simple Title Holder on next page (if different
State or County License EC13007510
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Florida State Trnpk Auth
Address: 1211 Governors Square Blvd Unit Ste 100
City: Tallahassee, FL
Zip: 32301 Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lePdgr"ar anttorney before commencing work or recordinavour Notice of Commencement.
Signatur#'-of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn (or before
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�o affirmed) and su scribed me of
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Physical Presence or Online Notarization
thlsl day of 20]--L by
Name of person makii tatement.
PersonalE,fKnown) PR ,yr ced tiiication
Type of Identifica !on
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ignature o otary Pub i ea WIo d,R
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REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5120121