HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi 813700 A2P0049 TMO700
ALL APPLICABLE INFO MUST BE COMPLETED FOR'1PPLICATION TO BE ACCEPTED
Date: '%1-1 1 ) 5 RECEII'�p Permit Number. \ 5a A - O 691
AUG 0 7 20s
• SCANNED
Building Permit Application St. Luce County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line v -� 1� \ - -ty III
Address: 2651 Minute Maid Rd
Legal Description: 3134 38 From NW COR OF SEC RUN S 87 DEG 41 MIN 31 SEC E ALG N SEC LI 4086.59 FT
Property Tax ID #: 1231-111-0003-0000-5 Lot No.
Site Plan Name: Block No.
Project Name: T-Mobile 700 A2P0049
Setbacks Front Back Right Side: Left Side:
-- -- r� A L
DETAILED DESCRIPTION OF WORK t T I'll 7 0 3
UPGRADE ANTENNA TO EXISTING STRUCTURE
oeAOCQ_k�
M
HVAC L_JGas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 12,000
Piping ❑_Shutters ❑Windows/Doors
nklers ❑ Generator ❑ Roof
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE; _
CONTRACTOR:
NameT-Mobile
Name: Daniel Ault
Address:1300 Concord Terrace
Company: Glotel Inc
City: Sunrise State: FL
Zip Code: 33323 Fax:
Phone No.
Address: 3060 Orange Grove Trail
City: Naples State: FL
Zip Code: 34120 Fax:
Phone No. 239-776-5884
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: adam.ehrlich@crowncastle.com
State or County License: CGC1522761
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION'.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: 3 and L Hale LLC
BONDING COMPANY: _Not Applicable
Name:
Address: 398 SE Naranla Ave
Address:
City: PortSt.Lucie
City:
Zip: 34983 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 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 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
commencing work or recording our Notice of Commencement
s
_ Signature of Owner/ Lessee/Agent
Signat re of Co tractor/Lic nse Holder
STATE OF FLORIDAn
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The fo going instrument was acknowledged before me
The forgoing instrygnent was acknowledged before me
thisTdayof n_✓S4 20 Aby
this7_1 dayof Q�(y 201` by
446- ! 1 e-o
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(Name of person acknowl doing)
(Name of person acknowledging) 'OFT ADAMERIWUH
F'tiv Ems'-a1.1l'1'
1r1Y CON..'JISSION 9 EE120314
EXplRE& Aapd 09, 2013
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_Pesonally Kn� -n OR Produced Identification
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o Identification Produced
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Commission No. (Seal)
Commission No. (Seal)
Revised 07/15/2014
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