HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA21.N93G9R"%
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 Permit Number: 15d tj - daa3
RECEID SEP 14 2015
• _ SCANNED
Building Permit Application BY
St. Lucie 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: Building
PROPOSED IMiPROUEMENT LOCATION:
Address: 24880 Okeechobee Road 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 mpdaf:beg 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 1137 42 W 657.77 ft, th N 11 56 52 W 517.18 ft, th N 12 21 26 W 212.44 ft, th N 12 48 57 W 306.93 ft to N LI of
sec th S 89 30 07 E ala N LI 763.13 ft to POB and less 1.81 AC to adams ranch-(297.09 AC)
Property Tax ID #: ,19n6_111-nnn1-nnoq Lot No.
Site Plan Name: Block No.
Project Name: TMO L700 MHz
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK: I ,
Remove and/or replace antennas and equipment at already existing facility.
CitiNSTRUCTIOWINFORMATION:
�HVAC
U
Gas Tank
Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 12,000:00-..-
tmspermit— cnecr,du dppry:
❑Gas Piping _ Shutters Q Windows/Doors
Sprinklers Generator D Roof
Sq. Ft. of First Floor:
Utilities:Sewerr DSeptic==Buitding Height
«.OWNER/,LESSEE ur -
�COAITRACTOR.- -
Name T-Mobile South LLC
Name: Dan Ault
Address:1300 Concord Terrace Suite 200
Company: Glotel, Inc
City: Sunrise State: FL
Zip Code: 33323 Fax: N/A
Phone No. 954-514-8020
Address: 3060 Orange Grove Trail
City: Naples State: FL
Zip Code: 34120 Fax: N/A
Phone No. 239-776-5884
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: danault@olinwaynecompanies.com
State or County License: CGC1522761
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEIV)E LCONSTRUCTION�LIEN LAW INFORMATION:.'
DESIGNER/ENGINEER: x Not Applicable
Name: aaltrepTeiewm
MORTGAGE COMPANY:
Name: N/A
x Not Applicable
Address: 3400 Lakeside Drive Suite 525
Address: NIA
City: Miramar State: FL
Zip: 33027 Phone: 954-E74-797e
City: NIA
Zip: N/A Phone: N/A
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: Arcco Of St.Lucie Inc.
BONDING COMPANY:
Name: N/A
x Not Applicable
Address: PO BOX 12909
Address: NIA
City: Fort Pierce, FLodda
City: NIA
Zip: 34979 Phone: 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 follo 'ng building permit applications are exempt from undergoing a full concurrency review: room additions,
accessoryctures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNINNe!
%tto�yoEuRr
: Your failure to Record a Notice of Commencement may result in your paying twice for
improveproperty. A Notice of Commencement must be recorded and posted on the jobsite
before thspection. If you intend to obtain financing, cons�l,"ith lender or an attorney before
_ Signature of Owner/
STATE OF FLORIDA
COUNTY OF
The f golmW Instrurpent was acknowledgeq Fjefore me
this dayof 20 11 _by
(Name of person acknowtedging )
eersonauy_maw- -- - -Un.rroc
Type of Identification Produced_
Commission No.r37 ?
Revised 07/15/2014
STATE OFF LORIDA
COUNTY OF �n�l/Q I�
The far oing instrument was cknowledged� fore me
this�day of 20 14 by
(Name of person acknowledging)
of
0
No. F): JILLMCIN
* MY COMMISSION
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
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DATE
COMPLETE
J 0
INITIALS