The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPUEitu FOR APPLICATION TO BE ACCEPTED Date: may, o Permit Number: I-,_ . __ . _.. _ _.. _� RECEI'D APR p4 2017 Building Permit Application SCHNNEDBy Planning and Development Services St. Lucie Cnnnt 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: Alteration LOCATION: Address: 5167 AllA Highway Ft. Pierce 34949 (Verizon Wireless Site# 69024) Legal Description: Book 1011/ Page 2069 10/34SI40E Property Tax ID #: 1411-709- - 00-1 t 4 I —, flCi' C) ou(i coo Lot No. Site Plan Name: Project Name: Verizon Wireless Site# 69024 OCEAN HARBOUR TOWERS Setbacks Front Back: Right Side: Left Side: DETAILED,DESCRIPTION OF WORK: Block No. At existing communication site, modification of 6 existing antennas and associated coaxial cable. CONSTRUCTION INFORMATION: itiona wor to e e orme under this permit —c ec a apply: LIHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers 1:1 Generator ❑ Roof Total Sq. Ft of Construction: Cost of Construction: $ � I t O ,D ,? S Ft. of First Floor: _ Utilities:cnSewer OSeptic Building Height: OWNERAESSEE CONTRACTOR: - Name Verizon Wireless Name: Anthony Ankersmit Address:7701 Telecom Parkway Company: UCI Construction Services City: Tampa State: FL Zip Code: 33637 Fax: Phone No. Address: 7103 East 6th Avenue City: Tampa State: FL- - Zip Code: 33619 Fax: Phone No. 813-386-6202 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ddrury@ucics.net State or County License: CGC1517870 u va!ae or consiruciion is >zbuu or more, a KtcUKDED Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIONS DESIGNER/ENGINEER: x Not Applicable Name: Hugh Reilly/CBVRTelecom Design MORTGAGE COMPANY:m Name: N/A x Not Applicable Add resS: 5113 Memorial Highway Address: City: Tampa State: FL Zip: 33634 Phone: 770-853-1233 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Ocean Harbour Towers Condominium Association, Inc. BONDING COMPANY: Name: N/A x Not Applicable Address: 835 20th Place Address: City: Vero Beach, FL City: Zip:32960 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 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 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 recordjng your Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLO IDA COUNTYOF iLlS�ooravo„1 STATE OF FLORIDA COUNTY OF HILL860R000H The for�ggoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this.R day of TVn-G 20 LJ_I this B7H day of JUNE 20 _ by 1 Anthony Ankersmit (Name of person acknowledging) (Name of person acknowledging ) (Signature of Notary Public- State of Florid (Signature of Notary Public- State of Florida Personally Known ✓ OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Pro u . wqlm- nrr ppp@ (r'� FF97321fle AM.DRURY Commission No. rF9� 30113 (Seal) Commission No.No ary tilic- SWIe of Florida WE Commission# fF 03213 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS SUPPLEMENTAL CONSTRUCTI EER: x LIEN LAW INFO Name: Hugh Reilly/ CBVR Telecom Design Address: 5113 Memorial Highway City: Tampa State: FL Zip: 33634 Phone: 770-853-1233 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Ocean Harbour Towers Condominium Association, Inc. Address: 635 loth Placb City: Vero Beach, FL Zip: 32960 Phone: MORTGAGE COMPANY: x Not Applicable Name: N/A Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: N/A Address: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St- �U( S r /1l 1ni 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 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 financine, consult with lender or an attornev before rdine vour Notice _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF 5 Signature of Contractor/License Holder STATEOF FLORIDA COUNTY OF HUSBOROIIGH The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of . 20 _by this 22nd day of MAROH 20 bL�-" _No1-ANTHONY ANKERSMITn(Name of person acknowledging I (Name of person acknowledging)Lo�w'(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Flor daVPersonally Known OR Produced Identification Personally Known x OR Produced Identifi;,rType of Identification Produced Type of Identification Produced `e'•,.�Commission No. (Seal) Commission No. FF973213 (Seal' Revised 07/15/2014 VI b 1 _ d(l I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE h I( INITIALS