HomeMy WebLinkAboutSub6 - Priority 1c_OCEAN HARBOR TOWERS_16280443_BP App_3-3-2022All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5167 N HIGHWAY A1A, Fort Pierce, FL 34949
Property Tax ID #: 1410-501-0016-010-8 Lot No.
Site Plan Name: OCEAN HARBOR TOWERS Block No.
Project Name: OCEAN HARBOR TOWERS
DETAILED DESCRIPTION OF WORK:
wireless antenna upgrade on rooftop
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 15000
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Verizon Wireless
Name: Pavel Redko
Address: 4700 Exchange Ct
Company: Advanced Communications Technology
City: Boca Raton State: FL
Zip Code: 32667 Fax:
Phone No. (407) 724-2626
Address: 15188 Park of Commerce Blvd, Suite 11
City: Jupiter State: FL
Zip Code: 33478 Fax:
Phone No (561) 771-6677
E-Mail: sjohnson@tepgroup.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail kristee@advancedcommtech.net
State or County License CGC1521987
It 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: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER
Name: Ocean Harbour Marina Assn Inc
Address: 835 20th PI
City: Vero Beach
Zip: 32960 Phone:_
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
X Not Applicable
State:
BONDING COMPANY: X 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 Commence m ay result in paying twice for
improvements to ur property. A Notice of Commencement ust e r rded in the public records of St.
Luci ount�f and sted on the jobsite before the first inspec on. I y ntend to obtain financing, consult
wi lenderjj ref �(ttorney before commencing work or recor in>; r otce of Commencement.
Signatuh> .�rner/ Lessee/Contractor as Agent for Owner I SignXurAp_KContractor/License Holder
STATE OF FLQRIDA
COUNTY OF i lf(VYhC
Swo to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of j4C(: C ire , 20,IC'by
rr,ne ��1�nscn
Name of person making statement.
Personally Known OR Produced Identificationl/
Type of Identificati00++��
Prod ed FL
f FLxjda
(Signature of Notary P LTC re
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Commission HH 065245
xpires 1111812024
Commission No. e I
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLO IDA'
COUNTY OF
Swgxn to (or affirmed) and subscribed before me of
✓ Physical Pr s n e or Online Notarization
this day of Ct( , 20?6 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Idep ificati CD
Produced i L
(Signature of Notary Public -State of FI
Commission No.'
SUPERVISOR PLANS I VEGETATION I SEA TURTLE
REVIEW I REVIEW REVIEW REVIEW
NotWY Publ'c St 1a 1 Fioride
Commissio H 06524
Expnres /1812021
MANGROVE
REVIEW