HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLciCJ FOR APPLICATION TO BE ACCEPTED
Date: D` ` I SCANNED Permit Number: I V
BY
St. Lucie Countp2P00015—5ibe Improvement
Building Permit Application AUG 0 8 2017
Planning and Development Services
Building and Code Regulation Division PERlail iTI;;G
2300 Virginia Avenue, Fort Pierce FL 34981
St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
P
MITAPPLICATION FOR: BuildingPOSED`IMPROVEMENT LOCATION:
Address: 9650 S Ocean DR Jensen Beach, FL 34957
Leal Description: THE PRINCESS OF HUTCHINSON ISLAND- A CONDOMINIUM COMPRISING A PART OF N
112 OF SECTION 2 TOWNSHIP 37 RANGE 41 ALL MPD IN DECLARATION OF CONDOMINIUM OR 626-2567-
Property Tax ID #: 4502-610-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: T-Mobile's Site Improvement Project-A2P0018B
Setbacks Front Back: Right Side: Left Side:
DETAILE-D'DESCRIPTION OF WORK
Relocation of existing telecom equipment at existing facility and upgrade power source
CONSTRUCTION INFORMATION:;'
Muwuunm WUTA w uc cn Ui uicu u11uc1 uun Pennu—CI
[:JHVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: /ZJ-!;� Sri•
Cost of Construction: $ 7 rv0o
71
L_JShutters ❑Windows/Doors
11 Generator D Roof = Roof pitch
S Ft. of First Floor:
: _
UtilitiesSewer DSeptic
Building Height:
OWNER/LESSEE: ': —
CONTRACTOR:.
Name T-Mobile South LLC
Name: Daniel Ault
Address: 1300 Concord Terrace Suite 200
Company: Glotel Inc.
City: Sunrise State: FL
Zip Code: 33323 Fax:
Phone No. 'J* QIR -I 2_
Address: 3060 Orange Grove Tri
City: Naples State: FL
Zip Code: 34120 Fax:
Phone No. 239-776-5884
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: danault@olinwaynecompanies.com
State or County License: CGC1522761
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Kimley-Hom/Kevin K Maralh, P.E.,CFEI, ACTAR Name: N/A
Address: 1920 wedva way Address: N/A
City: west Palm Beach State: FL City: N/A State:
Zip: 33411 Phone: Zip: N/A Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: The Princess Condominium Association Of Hutchinson Island Inc
Address: 9650 5 ocean DR
City: Jensen Beach
Zip: 34957 Phone:
BONDING COMPANY: x Not Applicable
Name: N/A
Address: N/A
City: N/A
Zip: N/A 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 ou intend to obtain financing, consult with lender or an attorney before
commencing work or cefor4ing vour Notice of Commencement ' ,-
as
STATE OFF DA STATE OF FLORIDA
COUNTY ���C� cs� COUNTY OF
��oing instrument was acknowledged before me
� day of c l , A t&M , 20 3.by
(Name of person acknowledging)
re of
Personally Known _
Type of Identification
The fo oing instrument was acknowledged before me
this day of �/%� .20 �� by
G1M. 1,4
(Name of person acknowledging)
(Signature of ary Publ'c-State Florida )
Personally Known OR Produced Identification
Type of Identification Produced ga ;W�
Commission No. `Commission No.
Revised 07/15/2014
-State of Florida
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