HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 11/12/15 Permit Number: ,511' d � `5
RECEIVED NOV 12 2015
• SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Count%•
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
-- --.. __ _ _._. - -- _
PERMIT APPLICATION FOR: 1 III
o Select from dropbox click arrow at the end of line N� } ; - }v
Address: 9950 South Ocean Drive Jensen Beach 34957
Legal Description: All that part of the south 1/2 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.
PropertyTax ID #: 4502-703-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name: 68824 Verizon Miramar I Condo
Setbacks Front Back: Right Side: Left Side:
Add antennas to existing rooftop along with
- Isll-oIG4
LJHVAC L==1Gas Tank UGas
MV
Electric El Plumbing ❑Spr
Total Sq. Ft of Construction:
Cost of Construction: $ 1 N, oDo -
35 KW propane generator.
It-n-CD tq 6
Piping I (Shutters
nklers 11 Generator
_ Sq. Ft. of First Floor: _
Utilities:Sewer Septic
❑ Windows/Doors
Roof
Building Height:
OWNER,<LESS:� �z
CONTRACTOR.
Name Verizon Wireless
Name: Brad Schehr
Address: 777 Yamato Road #600
Company: J Crompton Electric Inc
City: Born 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: Chdsty@verticalpropertysolufions.com
State or County License: CGC1504970 d9s3
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
IA 4
Name: Kimley-Horn
Address: 1920 Wekiva Way
City: West Palm Beach State: FL
Zip: 33411 Phone: 561-845-0665
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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
commencine work or recordine vour Notice of Commencement.
If-_4� / �/�- S
_ Signature of Owner/ Lessee/Agent Signature dector/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PA�r t Se_Ac. rt COUNTY OF I M Regc.i 1
The forggoing instrument was acknowledged before me
this I Ldayof N0J 20ls by
D,l*V 7LQ1 P3Aa_-f o�Ac-r_'1
(Name of person acknowledging)
=4
(Signature of Nota Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
SordedThru
Revised 07/15/2014
The fgrgoinginstrume t_ pp�acknow•ledgefo�eme
this ((.�� da of �(�1J1 20 a b
C)mcl Scl%c, 1%r
(Name of person acknowledging )
(Signature of Not6ry Public- State of Florida )
Personally Known V-**'OR Produced Identification
Type of Identification Produced
Si"°°• j)STY BARTOLL
40
CI
°= MY COMMISSION # EE15
40
(407)39"153 FlorldalloNrySemlm.c
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