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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1126/15 Permit Number: �G b) -Vi to S RECEIVr:D JAN 2 9 2016 SCANNED Building Permit Application BY Planning and Development Services St. Lucie Countv Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce F134982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line A h},z V, r e, S III Address: 3100 N Al Fort Pierce FL 34949 Legal Description- Sands on the Ocean - Section 1-30 Garages Property Tax ID #: 1425-606-0083-000-3 Site Plan Name: Project Name: 68870 Sands of the Ocean Setbacks Front Back: OHVAC U Gas Tank El Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ Ia, 000, Name Verizon Wireless Right Side: Piping Sprinklers Left Side: No. :k No. (ANTENNAS) ❑_Shutters ❑Windows/Doors E] Generator 1:1 Roof S Ft. of First Floor: _ Utilities:CnSewer Septic Address: 777 Yamato Road #600 City: Boca Raton State: FL Zip Code: 33411 Fax: Phone No. 954-234-7070 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Brad Schehr Building Height: Company: J Crompton Electric Inc Address: 1290 Old Congress Ave City: West Palm Beach State: FL Zip Code: 33409 Fax: Phone No. 954-234-7070 E-Mail: Christy@verticalpropertysolutions.com State or County License: CGC1504970 If value of construction is $2500 or more, a RECORDED Notice of Commencement is 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: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: X Not Applicable 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 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 you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. _ Signature of Owner/ .Ez — S Signatu of Contractor/License Holder STATE OF FLORIDA STATE OF FLORID / COUNTY OF PPl LY-1 ik4c yr COUNTY OF�IIrr, c.�1 The ing instru ent w@@s acknowledge before me Th *g ins thisZ day of �N 20 �Oby th' day of O W 1D t7 ka7 O`UC-CZ (Name of person acknowledging) I (Name CIO /LT r v1 agclfu� (Signat re of No a Pub' - to of Florida) (Signature of Notary Personally Known Pub Produced Identification Personally Known Type of Identification Produced MORM Type of Identification Commission No. • �SIONLFF179M Commission No. WS: FebNary 19, 2019 BaMe rm9a*INohrySaMka Revised 07/15/2014 is acknowledg d before me " 20 W,by _,ke,kr aging) -State of Florida )a OR Produced Identification _ ice yr r"•y CHRISTy BARMLI1t � @@gg�h9WS510N ®FF 9 y (1 ff0E&January1Z REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS CA- r .r. 11 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1, Date: t 0 � �' lip Permit Number: Wr BY SCANNED E0n-:P rz • St. Lucie County Building Permit Application JUN ? 3 2016 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Other I loRnOnrrn impignUFMFNT I f)CATihN Address. 3100 N. A1A Fort Pierce, FL 34949 Legal Description: Sands on the ocean - section 1-30 garages PropertyTax ID q: 1425-606-0063=000-3- Site Plan Name: Project Name: 68870 Sands On The Ocean Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED'DESCRIPTION OF WORK: Add antenna's to existing rooftop along with associated equipment cabinets and 50 KW Diesel generator on ground on concrete slab. CONSTRUCTION INFORMATION: Additional work to be ❑ erformed under Gas Tank this permit— check ❑Gas Piping all apply: Shutters ❑ Windows/Doors HVAC EElectric ❑ Plumbing []Sprinklers R] Generator ❑ Roof Total Sq. Ft of Construction: Sql —Ft.� of First Floor: Cost of Construction: $ 12,000.00 Utilities:Sewer ❑Septic Building Height: OWNER`/LESSEE; CONTRACTOR: Name Verizon Wireless Name: Frank Payberg Address:777 Yamato Road t1600 Company: Tower Communication® Services, Inc. City: Boca 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 8930 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 52500 or more, a RECORDED Nonce of commencement is regwrea. ,A SUPPLEMENTAL CONSTRUCTION,:LIEN LAW INFORMATION:, : DESIGNER/ENGINEER: _ Not Applicable Name: 1 imley-Hom MORTGAGE COMPANY: Name: _ Not Applicable Address: 1920 wexWa way Address: City: west Palm Beach State: FL Zip: 33411 Phone: 5618450665 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 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 andcovenantsthat 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 commencinz work or recordinz vour Notice of Commencement. —.-1 _ ignature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF Palm B-a The forgoing instrument was acknowledged before me this 2Qday of,\Ui1Q, 201VQby CYlYi�4-y� av-Ecl�c;el (Name of pers n acknowledging ) 65ignafUre—of Notary Put Personally Known OC Type of Identificat Commis1AP ; sion No. Revised 07/15/2014 OR Produced Commission # FF 123287 Zg.lres May(90018 Bonded Th, TI Fan XuremoBo¢3657010 Ki The forgoing instrument was acknowledged before me this a day of "" 20 _by Personally Known x OR Produced Identification Type of Identification Produced _ _ Commission No. EE847470 e8 TAMMY 0. BAKER N I�ry Public - State of FI My Comm. Expires Feb 12. Bonded Through National REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS