HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date (n oi3 'lam_ SCANNED Permit Number: Iwbl-mg(o
BY REEL , RD
• St. LucieCounty
Building Permit Application JUN 7. 3 2016
Planning and Development Services PEMAITTiNG
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: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 N. A1A Fort Pierce, FL 34949
Legal Description: Sands on the ocean - section 1-30
Property Tax ID #: 1425-606-0099000-8-
Site Plan Name:
Project Name: 68870 Sands On The Ocean
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Add antenna's to existing rooftop along with associated equipment cabinets and 50 KW Diesel
generator on ground on concrete slab.
E1HVAC LJGas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000.00
ia—cnecKau appry:
Piping Shutters
nklers ❑✓ Generator
Sq. Ft. of First Floor: _
Utilities:Sewer OSeptic
Windows/Doors
Roof
Building Height:
OWNER/LESSEE:, ,. „:
,,CONTRACTOR: _
Name Verizon Wireless
Name: Frank Payberg
Address: 777 Yamato Road #600
Company: Tower CommunicationO Services, Inc.
City: Baca Raton, FL 33434 State: _
Zip Code: Fax:
Phone No. 954 234 7070
Address: 3391 NE 6th Terrace
City: Pompano Beach State: FL
Zip Code: 33064 Fax: 954 782 8873
Phone No. 954 782 B930
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Towercomsvcs@Bellsouth.net
State or County License: CGC1509188
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
R
SUPPLEMENTAL CONSTRUCTION
LIEN CAW INFORMATION4
DESIGNER/ENGINEER: _ Not Applicable
Name: KW.y-B°m
MORTGAGE COMPANY: _
Name:
Not Applicable
Ad d ress: 1920 weklva way
Address:
City: west Palm Beach State: FL
Zip: 33411 Phone: 561 B4506B5
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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
commericine work or recordine vour Notice of Commencement. it
_ Signature of Owner/ Lessee/Ag nt
STATE OF FLORIDA
COUNTY OF Pal —Beach
The forgoing instrument was acknowledg d before me
thQJLQ day of a . 20Mby
(Name of person acknowledging )
Personally
Type of Id(
Commission
Revised 07/15/2014
STATE OF FLOM
COUNTY OF Bmws4
The forgoing instrument was acknowledged before me
this ' day of Ju'. . 20 _by
State of Florida ) I (SignaV(j Vof Notflry Public- State of Florida
Personally Knowh x OR Produced Identification
Type of Identification Prodlf — — — — —
Commission No. EEa47470 N($Lrglfublic - State of FI
_ •: • My Comm. Expires Feb 12,
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DATE
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/26/15 Permit Number: w O I —O 1 l {O
RECEI"^D JAN 29 2016 SCANNED
BY
• Building Permit Application ;f i uceCounty
Planning and DevelopmentSenrices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: 1772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line <4b 5 III
Address: 3100 N A1A Fort Pierce FL 34949
Legal Description' Sands on the Ocean - Section 1-30 Garages
Property Tax ID #: 1425-606-0083-000-3 Lot No.
Site Plan Name: Block No.
Project Name: 68870 Sands of the Ocean
Setbacks Front Back: Right Side: Left Side:
BINI38}
HVAC 0 Gas Tank
❑Gas Piping
U Shutters
Q Windows/Doors
Electric 0 Plumbing
Sprinklers
E] Generator
D Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1 "� oDo
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
QWNER/LESSEE f
CONTRACTOR:
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: Christy@verticalpropertysolutions.com
State or County License: CGC1504970
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL COIV5TftUGT10N'LIEN LAW„INFORNIATIOI
:.
y OF
DESIGNER/ENGINEER: Not Applicable
Name: Kimley-Horn
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 1920 Wekiva way
City: West Palm Beach State: FL
Zip: 33411 Phone: 561-845-0665
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
X Not Applicable
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 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYOF PALM 6F)kc-1-t
The forgoing instrument was acknowledged before me
thisay day of __J A . 20 Lio--by
IIA-#/ 1r> 5P aTa w c_L-1
(Name of person acknowledging)
_1 /Ccm c.a.tyranr a.
(Signatd1w of Nota ublic Late of Florida )
Personally Known 1/1- OR Produced Identification
Type of Identification Produced
AV
Commission No. * • E�tFF179M
FebNery 19, 2019
+zany 90dedtlw9WpdNQtuyUr t
Revised 07/15/2014
s
Signature of Contractor/License Hold
STATE OF FLORIDA
COUNTY OF 1� cJ1
Theoing instrument was acknowledged before me
thi 10 day of , 61a 16V 20 110 by
raj Sche i,✓
(Name of person acknowledging)
(kw4-
(Si ature of Nota Public -State of Florida )
Personally Known Ae�lo
Type of Identification Produc =iC r'+ ,nmr�.nccvwaocmaac�
Commission No.
January 12, 2020
)arvPublicUnda*den
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVI W
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS