HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA2P0309M
ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED v
Dater 1 I 7 Permit Number:
- RECEI`." D SEP 14 2015 SCANNED
�1 Sf. Luc a Cou ntt�
Building Permit Application
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 xx Residential
PERMIT APPLICATION FOR: Electrical
I PROPOSED.I'MP. ROVEMENT LOCATION:
Address: 24880 Okeechobee Read Ft. Pierce, FL 34945
Legal Description: 6 36 38 all of sec lying N of sr 70 as amended in or 1683-304-less that part mpdatbeg NE cor of sec run S 00 02 18 W al E sec LI
2000 ft, th N 49 26 54 W 537.72 ft, th N 11 37 42 W 657.77 ft, th N 11 56 52 W 517.18 ft, th N 1221 26W212.44 ft, th N 124857W306.93 ft to N LI of
sec. th S 89 30 07 E ale N LI 763.13 ft to POB and less 1.81 AC to adams ranch-r297.09 ACl
Property Tax ID #: 79n(3-111-n001_nnn4 Lot No.
Site Plan Name: Block No.
Project Name: TMO L700 MHz
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and/or replace antennas and equipment at already existing facility.
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CONSTRUCTION
INFORMATION:
Ll
Additional work to
e
e orme under
this permit- check a
apply:
r
1]HVAC
E]
Gas Tank
❑Gas Piping
Shutters
Windows/Doors L
Electric
El Plumbing
Sprinklers ElGenerator
E] Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 2,000.00
Utilities:
Sewer
D Septic
Building Height:
OW
_.- _ ..�..CONTRAC�,T�OR:
-Name-T-Mobile_South.LLC_ _ __ - - ---- -
Name: --Robert Koenekamp - -- - - - -
Address:1300 Concord Terrace Suite 200- "
Company: East Ocean Electrical of Florida
City: Sunrise State: FL
Zip Code: 93323 Fax: N/A
Phone No. 954-514-8020
Address: 1581 Bayridge PI
City: Wellington State: FL
Zip Code: 33414 Fax:
Phone No. 561-482-3391
E-Mail: Denise.Correa6@T-Mobile.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: standaemerelectric@gmail.com
State or County License: EC0000187
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
A
A2P0309M
DESIGNER/ENGINEER: x Not Applicable
Name: Caltrop Telecom
Address: 3400 Lakeside Drive Suite 525
City: Miramar State: FL
Zip: 33027 Phone: 954-874-7870
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Arcco Of St.Lucie Inc.
Address: PO BOX 12909
City: Fort Pierce, FLorida
Zip: 34979 Phone: N/A
MORTGAGE COMPANY: x Not Applicable
Name: N/A
Address: N/A
City: N/A State:
Zip: N/A Phone: N/A
BONDING COMPANY: x Not Applicable
Name: N/A
Address: N/A
City: N/A
Zip: N/A Phone: N/A
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 follkwing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessor%Xstructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNIN TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvem nts to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the'krst inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin , ork or recording our Notice of Commencement.
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_ Signature of Owner/ L e Agent
Signature of Contractor/License Holder
STATE OF FLORIDA ,p
ar
STATE OF FLORIDA/� gg
COUNTY OF
COUNTY OF C /1�X1y'l if_
The ffRRr,ggoing instrumja�a'cknowledged fore me
thissaLdayof )by
The f rgoing instrum t was acknowledged before me
by
thissd�ay�ofy� 2q/i
1y20
(Name of
son acknowledging )
(Name of pe n acknowledging )
(Signatu Vo otary Publi _. tate of Florida ) -
(Signature of Notary]Public- Stateof Florida )
Personalty`Known= - —-ORYroduced-ldenfifica Qyotuur!rU/z.�7
,Personally] -Known_ —'� Of�Ptoduc_ed Identification
- ype-ofldenti icf a'iontPfoauced-J�-- -ODRIG —
�WWype of1denn}i ica if—foi roduce
Commission No. FCW'3J1/ (SeyT)O '� ••rj Y.
Co�mission No. F-)'_1. 02 ',�o„,(SeHI)NDA PALOZZO
f`
• {(� _+•O = Commission # FF 110
— 2q - My Commission Expi
*'.gg �1883717 11..�'�sY+a A{3rll B7. aBl®
Revised07/15/2014� b.a • Q ��
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