HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICIABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LI 1� 1 �� Permit Number: `C O 1- o\S5
RECEI` 7D APR 0 8 2016
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 12200 Ai
Legal Description:
I:.,N
Property Tax ID #: 1332-211-0002-000-5
Site Plan Name: A2P0048A
Project Name: A2P0048A
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Modify existing telecommunications equipment (A2P0048A)
CONSTRUCTION INFORMATION: ll Addition a wor to .1 D�enerrormedun ert Ispermit—c ec a., appy:
❑HVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors
❑✓ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: S(tI —Ft. of First Floor:
Cost of Construction: $ 7,500.00 Utilities: Sewer ❑Septic Building Height:
OWNER/LESSEE;
CQNTRAGTOR:
Name Indrio Holdings LLC
Name: Daniel Ault
Address:1626 90th Ave
Company: GloTel, Inc
City: Vero Beach State: FL
Zip Code: 32966 Fax:
Phone No. 954-444-2822
Address: 3060 Orange Grove Trail
City: Naples, State: FL
Zip Code: 34120 Fax:
Phone No. 239-776-5884
E-Mail: bart.simongtowerquest.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: bart.simon@towerquest.com
State or County License: CGC1522761
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
-A
DESIGNER/ENGINEER: x Not
Name: cal-p
AddreSS; 13067 Telewm Pkwy
City: Tampa State; FL
Zip; 33637 Phone: 813-514-9880
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ZiD: Phone:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City:
Zip:
Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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
h,-Uprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
bffwre the first inspection. If you intend to obtain financing, consult wit lender or an attorney before
com encing work or recordine vour Notice of Commencement.
_ Signature of
STATE OF FLORIC
COUNTY OF Bm d
The fo going instru ent was ackTl�wi�dged before me
this dayof 20,by
(Name of person acknowledge )
(Sig�ature of_goL Iic{ State of Florida )
My/Comm. Expires Sep 10. 2016
�Commissinn # EE 204g90
Bonded Through National Notary Assn.
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF Brower4
The forgoing instru ent was acknowledged before me
this day of, 20 by
(Name of
(Signature of
Type
Pro&Md
bumm. txptres Sep 10, 2016
Commission # I(Sea6p61
diTT6rough National Notary Assn.
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