HomeMy WebLinkAboutBUILDING PERMIT APPLICATION02J 3-'15 10:14 FROM-_ T-244 P0002/0006 F-296
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -rl _ O
Date: `�J �5 Permit Number: I` O I q'
113� SCANNED
BY
Building Permit Application St. Lucie Count%
Planning and Development Services
Building and Code Regulation Dlvision
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Yes Residential
PERMIT APPLICATION FOR: To Select from dropbox, Glick arrow at the end of line
f mid,
Address: 1100 Dyer Rd
Legal Description: ST LUCIE GARDENS 23 36 40 BLK 3 S 33OFT OF THAT PART OF LOT 13 LYG N OF DYER RD (2.50 AC)
(MAP 34123S) (OR 1846-2011)
Property Tax ID tf: 3414-501-0713-250.6 Lot No.
Site Plan Name: Block No.
Project Name: 870159 LightSquared
Setbacks Front Back: Right Side: Left Side:
I .C2ETAILED DESCM.PttQN f2F 1AlOWI',: .. ...
Installation of equipment on existing tower and ground cabinet
JQ2 PICQI"iSCEX 1EWtaCAioo'of)
G¢N TRUCTION::)NEQR !IJ T,IQNt;
Additional work to be erformed un cierinis perms - check a apply;
E1HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
Electric Plumbing Sprinklers 11 Generator 01 Roof
Total Sq. Ft of Construction: Sq� —F—t.i of First Floor:
Cost of Construction: $ (U I U ( (' Utilities: Ft
LISeptic Building Height:
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GQNTRAG'f.OR::
Name
Name: Matthew Snyder
Address: Owl �Mi�/'
Company: New. Tech Construction
City: hfl:,� _State:
Zip Code: 9Oi 9 ( Fax:
Phone No.
Address: 1579 Barber Road
City: Sarasota State: FL
Zip Code: 34240 Fax: 941-378.0800
Phone No. 941.48M988
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-mail: matt@ntctowers.Com
State or County License: SCC13115151T
If Value of construction is 52500 or more, a RECORULU Notice or Lommencemenc ns requrroa,
02-13-'tb 10:14 FROM- T-244 P0003/0006 F-296
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DESIGNER ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:___y,_
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: ,_,_
Name: Global Signet Services LLc
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 4017 Washington RO PMa 353
Address:
City: Mww-y
City:
Zip: 15317 Phone:
Zip: Phone:
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.
Inconsideration 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 zrtcessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Comrr
improvements to your property. A Notice of Commencement
before the first inspection. If yoontend to obtain financing, c
Signature
telecorded
may result in your paying twice for
be and posted on the job-site;wh lender or an attorney before
STATE OF FLO DA Q ( STATE OF FLORIDA
COUNTY OFy' �ynO7PGLcS� COUNTYOF�--
The forgoing instr ment was acknowledged before me
this Ic7 day of YIo 20f.by
(Name f person acknowledging)
o �
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission NY � ;F"T (Seal) GALE LOGO
i•i "l: My COMMISSION#FFI
Revised 07/15/2014
Holder
The forgoing instrument was acknowledged before me
this 2 day of Fcwry 20 15 by
Matthew Snyder
(Name of person acknowled i I)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification Type
of Identification Produced
No,J dd'�T
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIqN
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
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