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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, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 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