HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/12/15 RECEI`.":D NOV 12 2015 Permit Number: 1511- 019�
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
P
RMIT APPLICATION FOR. i o Select from dropbox, click arrow at the end of lineOPOSED INIPROVEMEN t LOCATION: ; ,
Address: 9950 South Ocean Drive Jensen Beach 34957
Legal Description: All that part of the south 112 of the north 1/2 of government lot 4 section 2 township 37 south range 41 east,
St. Lucie County, FL, lying east of the easterly right of way of state road A1A.
Property Tax ID #:
Lot No.
Site Plan Name: ID I -�(•C,leCt Block No.
Project Name: 68824 Verizon Miramar I Condo
Setbacks Front Back: Right Side: Left Side:
Add antennas to existing roofto along with associated equipment cabinets and 35 KW propane generator. (ANTENNAS)
1511-o I Cl
1511—OI
CONSTRUCfIOM1!°IN.FORMATION:n. .' a'a ">
itione wor o e e orme under this permit—c ec all apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ ) Ll 000 .
S Ft. of First Floor:
UtilitiesSewer ❑Septic Building Height:
OWNER/LESSEE-
CONTRACTOR: m ..".
Name Verizon Wireless
Name: Brad Schehr
Address: 777 Yamato Road #600
Company: J Crompton Electric Inc
City: Boca Raton State: FL
Zip Code: 33411 Fax:
Phone No. 954-234-7070
Address: 1290 Old Congress Ave
City: West Palm Beach State: FL
Zip Code: 33409 Fax:
Phone No. 954-234-7070
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Csnt vert cal roe souut ons:com; .
State or County License: CGC1504970 a `5 aq
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Kimley-Horn
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 1920 Wekiva Way
Address:
City: West Palm Beach State: FL
Zip: 33411 Phone: 561-845-0665
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count, 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
Signature of Owner/ Lessee/Agent g
—' Signature of Contractor/License Holder
_
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF PALM. g�a�Ir COUNTY OF Pa M �2Oc.h
The forgoing instrument was acknowledged fore me
this J L day of NOV 20I 5by
DAb1.n fziAkfZi'Ot_ucG1
(Name of person acknowledging)
(Signatur f Notes Public- State of Florida )
Personally Known OR Produced Identification
Type ofIdentification Produced �00ph, NA=lOt20nRRI9
* My COMMISSION I' FF179948
Commission No. ISRORES: Febnlary 19, 2019
OFR�� fkndNThN Budget NotFry services
Revised 07/15/2014
The forgoin Yinstrum ntQ��s acknowledged before me
this des of N 20 [.� b
Scli c,F„-
(Name of person acknowledging)
a�zh15'
(Signature of Notary' P/lic- State of Floiida )
Personally Known `' OR Produced Identification
Type of Identification Pr " I
Commission No. : • MY CQ.W&ISION # EE163660
,y,. EXPIRES January O9, 2D16
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