HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI k
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I �.<' �' 15 PermitNumber: 1SG1-<S(Y1M
Alurioo apn-I'IS
RECER'7D JUL 0 6 2015
Building Permit Applic-4-
Planning and Development Services OWNED (13ININVOIS
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Countv
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Addition III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 25560 Minute Maid Road Fort Pierce, FL 34945
Legal Description: 11 34 27 S 1/2 of NE 1/4 (84.72 AC) (OR 451-1720: 993-1103,1104)
PropertyTaxlD#: 1111-131-0001-000/4
Lot No.
Site Plan Name: Block No.
Project Nat
Setbacks Front NIA Back: N/A Right Side: NIA Left Side: NIA
I DETAILED DESCRIPTION OF WORK: III
Sprint is adding 1 MW dish to existing Cell Tower.
CO
,,�RILICTION INFORMATION:
alworKtOuLnerformed under this permit —check all apply:
HVAC Gas Tank []Gas Piping In Shutters Windows/Doors
Electric Plumbing []Sprinklers E] Generator D Roof
Total Sq. Ft of Construction: NIA
Cost of Construction: $ 22,500
S Ft of First Floor: N/A
UtilitiesIn Sewer []Septic
Building Height: 400'Tower
OWNER/LESSEE:
CONTRACTOR:
Name Sprint
Name: Samuel Joseph
Address: 6391 Sprint Parkway
Company: Data Stream Mobile Technologies, Inc
City: Overland Park State: KS
Zip Code: 66251 Fax:
Phone No. 407-765-2001
Address: 11521 Interchange Circle South
City: Mirimar State: FL
Zip Code: 33025 Fax: 775-628-7840
Phone No. 954-271-1240 X 105
E-Mail: sioubier@sla-wireless.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: slee@dswltech.net
State or County License: CGC1518941
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: If NotApplicable MORTGAGE COMPANY: Not Applicable
Name: ""y Name:
Address: ?2" s—ol wi Addrew
city! State: — City: State:
zip: 30-'w Phone: W5444 W.2 Zip: —Phone:
1-�EES--IMP-L-ET-ITL-EH--OLD-ER: —Not Applicable- —BONDING COMPANY: k_Not Applicable
Name: tl�mC�L�wdR�LTD ame:
Address: '0?5X'oA- Address;
City! V�S'" i City�
Zip; 32y� Phone: rz�A Zip: Phone:
I certify that no wolc or installation has cornmenced pcior to the issuance ofa permit.
SI.LucieCount mak(K no representation that is granting., permit will aunhori2p the permit holder to build the subject structure
which is in coNict with any applicable Home Owners As5ociation tule�, Dylaw� or anti covenants that may restrict or prohibit such
structure. Please consult with jour Home Owners Association and rewe%v your deed for any restrictions which may apply.
In consideration a' the g6riting at this requested permit I do hereby agree that I will, in all respects, perform the work
it. accorddnce with the, approved plans, the Fforida Building Cridesand St. tucie. County Amendments.
The fvl�owing building permit applications are exempt tram undergoing a ful� coacumency review: room additions,
accessorystrucrunts, sWimming pool5, fences, walls, �ipn5, supan rooms and accessory uses to anothet non-residenrial 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
commenciN work or recording your Notice of Commencement.
Signature off Owne I LeSseelAjenz 0 tgr/License Hoilder
STATE OF FLO A STATE OF FLOR
COUNTY OF MWAWM-b
COUINTYOF-
ti?ciing instrument was afore me The for7ing inStru7t wo.��cknowledged before me
The f acknowledged b
Z57 by
1 trii� day of 20 L-1by this dav of Ltz-11 .20
— I
i
A AhA1 CAI, J,
rNameofpersbnac cnv!�. (Name oi persoR.4c)ur edging)
Notary Public- State of Flotida nature of Notary Public- Sate of Flor da)
Por�natly Knowp OR Prod.cp d tatation personally Known OR Produced identification
Type of Iden6fication Produced bP1fW'/-
Type of identification Produced
RY PU8U
miswon No. rFt)Dq
Commission No (5"j*ANDA D. MOGRATH Co A
F FUFLORIDA
01
t &rTA1�7-0
Notary PUbllc, State of Florida conow
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�Ircorrtrrr, expires Sept. 13,2018
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