HomeMy WebLinkAboutBuilding Permit Application800642
Verizon
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To RE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 ftinla Avenu4 Fart Pkme F1 34982
Phone: (772) 462-1553 Fax: (772) 462-2578
Commercial Residential
PERMIT APPUCATION FOR: To Select from dropbox, clie-k- arrow a I t the end of One
mi ?—W 4.
Address: 16800 OKEECHOBEE RD
Legal Description:
Property Tax ID It. 32 01-244-0039-000-8 Lot No.
Site Plan Name: Block No.
Project Manx:
Setbacks FronL__ Back. Right Side: Left Side:_
upgrade equipment at existing cell site
e nerformed under Ispermit—chadp
ecRll pilr-
Gas Tank DGas piping nShutters
Pkimbing :1sprinklers DGenerator
Total Sq. Ft of Construction:
Cost of Construction:$ 14,000
So. Ft. of First Floor:
Utilities: USewer liSeptic
Name Verizon / Crown Castle
Address.. 2058 Vista Pkwy, #400
City: West Palm Beach State. FL
Zip Code: 33411 Fax-..
Phone No.
E-Mail:
Fill In fee simple Title Holder an next page (if different
from the Owner listed above)
More, a RECORDED Notice
EWindows/Doors
Roof Roof pitch
Building Height:'
Name: Pavel Viktorovich Redko
Company: Advanced CommunWaffm Technology Ulo
Address: 15188 Palk of Commerce Blvd., Suite il
City.. Jupiter State- FL
Zip Code. 33478
Fax:
Phone No.
E-Mail:
State Or County Llcense:_9GG1fi21867
"MmOnctmentl2feaulred.
SUPPLEM, NTAL-CQ.k i V00N LIE19.LAW.1NF0RmATI6N:
DESIGNER/ENGINEER:— of App scab a
MORTGAGE COMPANY: Not Applicable
Narne
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: _ Phone:
FEE SIMPLE TITLEHOLDER: „_ Not Applicable
BONDING COMPANY: Applicable
Name: Evans Properties Inc
,Not
Name:
Address: e60 Eleachlend Blvd Ste 301
Address:
City: Vera Beach FL
aty:
Zip: 32 663 Phone:
Zip: Phone:
I eerdfy that no work or installation has commenced priorto the issuance of a penmlt.
Lucie Coumt� makeess no repre ,Ition that Is 8rantf�etmitt U 3 authorize the ermit holder to build the object y ruc����
ich is in confiictwim an applicable Horr�e Owners don es, byYliaws Qrn covenants that may ct or rohlblt such
structure. Please consult with your Home owners Mon an review your deed any restrictions yuhtch may a�p1y.
in consideration of thegranting 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-resldential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result to your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the Jobsite
before the first Inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmr"a"Ane n,nrb n. _
i re of Owner Lessee/Contracteras Agent for owner
STATE OF FWRiDA
COUNTY OF i�`51,Q,r.n d Q IN
The fording Instrument was acknowledged before me
this day of TrA.20%L-py
(Name of person acknov
(Signature of Notary Pul
Personally Known
Type of Identlficad
Commission . re,
Revised 07/15/2014
+ufy rnuur - uwo OT rlonoa
Comm(�HH 62053
Comm. Nov 15, 2024
through National Notary Assn.
STATE OF FLORID
COUNTY OF '-?-&,A B�m,
The forsolng Instrurqent was acknowledged before
i this day of 20 21 by
RO+G�
V
(Name of person acknowiedging )
u rii
-CS18n8tur
�Z
of Notary Public- State of Florida)
Al
z,
Personally Known OR Pr d idegtificab
Type of identification Produced s i�
CorhmisslohNo. F#H (71�� S (seal)
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