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
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y (1 ff0E&January1Z
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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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