HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
9.7.2016 6GANNED Permit Number:
y BYLUcie / } R
Building Permit Application SEP 14 2016
Planning and Development Services PER.'01TTING
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: To Select from dropbox, click arrow at the end of line ( )+; I ; -{
PROPOSED IMPROVEMENT LOCATION: /" I
Address: 1480
Legal Description:
Property Tax ID #:
Rd. Port Saint Lucie, FL 34952
Site Plan Name: 5080 Relay Tower Florida
Project Name: 200' Guyed Tower Modifications
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Weld additional pieces to the base of the tower to strengthen.
INFORMATION:
HVAC L I Gas Tank UGas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: 1CostQf;;Constru&0d $'3%49(01 &V
Lot No.
Block No.
Shutters Windows/Doors
Generator 0 Roof
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
Roof pitch
OWNER/LESSEE: _ ____SONTRACTOR:.
Name American Tower
Name: Turk Bektas
Address: 3500 Regency Parkway
Company: Towercore LLC
City: Cary State: NC
Zip Code: 27518 Fax:
Phone No.919-468-0112
Address: 11500 Belmack Blvd. N.
City: Odessa State: FL
Zip Code: 33556 Fax: 8663561714
Phone No. 813-417-3747
E-Mail: jerry.gore@americantower,com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: tony.sloan@towercorecontracting.com
State or County License: CGC1511339
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: wlrernEGarreh
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 3500 Regency PWy
Address:
City: can State: Nc
Zip: 27518 Phone: 918-4e8e112
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ 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 Oran 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
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder `
STATE OF FLORIDA, STATE OF FLORIDA
COUNTYOF COUNTY OF t�tr�e 1krtiS
The for o'ng instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 LUby this %M' day of zt 20 lla by
TUCK- `}ctvaS -t-um Saueis
(Name of person acknowledging) (Name of person acknowledging)
n���
(S' na ure of of Public- State of Florida )
Personally Known __ OR Produced Identification
Type of Identification Produced
(Srture of No a Public- State of Florida )
Personally Known �_ZOR Produced Identification
Type of Identification Produced
Commission No. F6_- g/ SS(Se I Commission No. 1�F77Io7SS (Seal)
oaRti�`r''`ti's JENNIFER MCINTIRE ,•,:?°y%�•; JENNIFER MCINTIRE
_ y ? MY COMMISSION # FF 991258
Revised 07/15/2014 :o E%PIREB: June 10, 2020 i•s EXPIRES: June 10, 2020
°•%°o'r'aop+ Bonded Thru Notary Public Underwriters %Solid u' Banded Thru Notary Public underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVIEW
DATE
INITIALS