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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONrl 7 ALL APPLICABLE INFO MUST BE COMPLETEDFOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: I503-OI©� BY I St. Lucie County Building Permit Application RECEIVE® Planning and Development Services MAR R 9 2015 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 P RMITTING Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residelsti8 cie CountA FL PERMIT APPLICATION FOR: Other PROPOSED IMPROVEMENT LOCATION: "A " Address: 7370 South Ocean Drive, Jensen Beach, FL Legal Description: Dune Walk by the Ocean a/k/a/ Sand Dollar North Property Tax ID #: 3522-607-0000-0005 Lot No. Site Plan Name: Dune Walk 68843 Block No. Project Name: Verizon Wireless AWS Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION 'OF WORK , Swapping existing antenna with new antenna (76NSTRUCTION iNFORMATION,` Haaaionai worK Eo oe errormeu unuer Ems perms— cnecK an apply: ❑HVAC Gas Tank ❑Gas Piping LJ _Shutters ❑Windows/Doors ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 22,000 Utilities:Sewer ❑ Septic Building Height: OWNER/LESSEE::. '• CONTRACTOR. Name Verizon Wireless Name: Veron' armean Address:777 Yamato Road Company: Ascend Wireless City: Boca Raton State: FL Zip Code: 33431 Fax: Phone No. Address: 1133 Crown Park Circle City: Winter Garden State: FL Zip Code: 34787 Fax: Phone No. 407-451-0474 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: f • t 1 50A State or C unty License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. v_V`) " DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: FowsreGrenp Name: Address: 10150 Highland Manor Drive, 0210 Address: City: Tampa State: FL City: State: Zip: 33610 Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Dune walk bythe Ocean Name: Address: 7370 south Ocean Ddve Address: City: Jensen Beach, FL City: Zip: 34957 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. 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 concurrenty 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 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 commencine work or recordine vour Notice of Commencement. of Owner/ Lessee/Agent STATE OF FL COUNTY OF STATE OF FLORIDA COUNTY OF ft1aA&4-e< The forgotng instruMenQt was acknowledged befVe me The forgoing instrument was acknowledged before me this 81�dayof I�.b� 20 Irby this l May of rArMull . 20 1I T by Mm Z r &Q.6" (Name ofperson ack�) '(Signature o4p)itarf Public -State of Florida ) Personally Known ✓ / OR Produced Identification Type of Identification Produced Commission NO.FF $13 i +' `�' Lacey N Stovall Revised 07 My Commission FF 108131 oe pp Expires 0411812018 person (Signature Notary Public -State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission Notary Publie State of Florida My Comm__ FF 1~ Expires o4I181'2 y Aw REVIEWS FRONT ZONING SUPERVISOR,,PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE `q COMPLETE INITIALS