HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONopnnt IU4F iyirioAL uol 1"
1LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / ��/' ���/
Date: I' SCANNED Permit Number:
BY
St. Lucia Cnnnt, R E C E i ..
Building Permit Application JAN 31 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 1480 Dyer Rd, Port Saint Lucie, FL 34952
ST LUCIE GARDENS 23 3640 BLK 3 THAT PART OF LOT 16 MPDAF. COMM AT SE COR OF SW 114 OF SD SEC RUN N 00 DEG 13 MIN 10 SEC E 245.51 FT. TI/ N 89
Legal Description: DEG 46 MIN 18 SEC W ALG N RAN LI OF DYER RO 459.95 FT FOR POB.TH CONT N 89 DEG 46 MIN 1B SEC W 200 FT TO INT WITH W LI OF SD LOT 16. TH NOES
FT. THN 89 DEG 43 MIN 41 SEC W 136.85 FT. TH S 00 DEG 11 MIN 02 SEC W
Property Tax ID #: Parcel ID: 3414-501-0716-000-0
Site Plan Name:
Project Name: Sprint# MI13XCO51
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Modify Sprint Equipment; Add 3 antennas and 3 RRU (Remote Radio Units) to existing cell tower
CONSTRUCTION INFORMATION: III
HC101 n Vnd I worK to O 12errurmeu unu e r Lnl s Pe rm IL— Cf
1JHVAC Gas Tank ❑Gas Piping
- []Electric El Plumbing ❑Sprinklers
r
Total Sq. Ft of Construction: NIA
Cost of Construction: $ 15,000
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor: N/A
Utilities:llSewer liSeptic
Building Height: NIA
OWNER/LESSEE:
CONTRACTOR:
Name Sprint
Name: ATS - Benjamin R Ekey
Address: 6100 Sprint Parkway Overland Park, KS 66251
Company: ATS
City: Overland Park State: KS
Zip Code: Fax:
Phone No.407-280-0958
Address: 2544 E Landstreet Rd Suite 600
City: Orlando FL State: FL
Zip Code: 32824 Fax:
Phone No. 321-418-0162
E-Mail: dfowler@bluestreampro.com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail: cjanose@accessats.com
State or County License: SCC131150970
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:3414
DESIGNER/ENGINEER: x Not Applicable
Name: Robort J. Lam AR92824
MORTGAGE COMPANY: X Not Applicable
Name:
Address: Tm South University Drive Salta 245
Address:
City: Plantation FL 33324 State:
Zip: Phone: 954-577-4655
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: American Tower Systems Inc
BONDING COMPANY: x Not Applicable
Name:
Address: PG Box 723597
Address:
City: Atlanta. GA
City:
Zip: 31139 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 ano 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
STATE OF FLORIDA
COUNTY OF li>o.
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i3 day of January 20 17by I this//{ day of January 20 17 by
(Name of p rson acknowledging )
(Signature of Notary Public- tate of Florida )
Personally Known
Type of Identification Prot
Commission No.
Revised 07/1
OR Produced Identification
KRISTIN A CROSS
EXPIRES June 04. 2019
del, E ke.
(Name of person acknowledging)
(Sig ure of N a u ic- State of Florida )
Personally Known D OR Produced Identification
Type of Identification Produced
Commission
state
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