HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L�
Date: IIT/I�� SCANNED Permit Number: I ✓ I �— ®��
St. Lucie County RECEI ED
—� — Building Permit Application DEC 15 2015
Planning and Development Services PERfAITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Alteration III
I'KUrUStU nylrKyy.CrvltlNa LUGAI IUN:
Address: 10600 South Ocean Drive, Jensen Beach 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNDIV SHARE IN COMMON ELEMENTS (OR 3638-1763)
Property Tax ID #: I ' Lot No.
Site Plan Name: Verrriiz�zon Wireless Site# 62726 OCEAANNA SOUTH II Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK . " III
At existing rooftop communication site, remove/replace 6 antennas and associated coaxial cable.
Also tco remove 2 communication cabinets, battery cabinet and replace with new cabinets
OoTrr�
CONSTRUCTION INFORMATION:
Aaditional work to e e armedd under tispermit—check all appy:
0HVAC Gas Tank [_]Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers 1:1Generator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ �� I000 . 00
S Ft. of First Floor: _
Utilities:llSewer OSeptic
Building Height:
OWNER/LESSEE: "
CONTRACTOR:`
Name Verizon Wireless
Name:. �Irotyli t
Address:7701 Telecom Parkway
Company: Q r^
City: Tampa State: FL
Zip Code: 33637 Fax:
Phone No.
Address:
City: State.
Zip Code: -- to Fax: sb rscSSgi7oo,%
Phone No5(0( 47!rSIa
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: WQt111
State or County License: q
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
J . .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Adrian Rosen /Forsire Group
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 101590 Highland Manor Drive, Suite 210
Address:
City: Tampa State: FL
Zip: 33610 Phone: 813-549-3250
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Ooeana South it - Common Area
BONDING COMPANY: _Not Applicable
Name:
Address: 10600 South ocean Drive
Address:
City: Jensen Beach, FL
City:
Zip:33957 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 theSermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 ydu intend to obtain financing, consult with lender or an attorney before
STATE OF FLO9DA STATE OF FLCVDA
COUNTY OF_ 4 a Irv_" Ctr-1 COUNTY OF Q)rr. i�4tcG1.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _M day of r . 20 (5,by this LS_ day of )&Jn be , 20 LCL by
Hach Boirr;� y-Fr. 42-m , Veftu� iRiriaf—
(Name of person acknowledging) (Name of person acknowledging )
Public- State of Florida )
Public -State of Florida )
Personally Known Personally Know ppn
Type of Identificatio Pgp; lfd 0 WASHBURN Type of Identification b_
!� Commission # FF Expires May 14, 2018
s+: ( '
Commission No. 'o? Expires N1301e431018 Commission No. •• 4e aWod lnrvnW j n'°B Sao,9
. Pt1�,.• and ➢ T' ww nre00a]EiR019
Revised 07/15/2014
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