HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONOWNER/LESSEE:
CONTRACTOR:
Name SPRINT
Name: Benjamin Ekey
Address:6100 Sprint Parkway
Company: ATS
City: Overland Park State: K3
Zip Code: 66251 Fax:
Phone No.239-229-1130
Address: 450 S Ronald Reagan Blvd.
City: Longwood State: FL
Zip Code: 32750 Fax:
phone No. 407-423-9071
E-Mail: AMORRIS.CTR@INFINIGY.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: PERMITTING @_ACCESSATS.COM
State or County License: SCC131150970
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 17111
054 2
BY
® 1. St. Lucie County
Building Permit Applicatio
Planning and Development Services APR 18 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Towercollocalon Btsiderltial N/A
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 12200 W. Angle Rd. Fort Pierce Florida 34945-4120
Legal Description' szs.>xazsnor xE,,. cvo SvormrxAxc xa,.swsw.vo.rxxoxaxo xwwivcaormx>x.,xoa,aaseuessroraxrxuo�.sss,mn,uosuaecrroesurovEx n:mnorszao I
xlx..5EC E zixs.a"TO Sn Rn Suxax
Property Tax ID #: 1332-211-0002-000-5 Lot No. N/A
Site Plan Name: ATC 5110 - Sprint M113XC056-AngleRoad-StLucieCo Block No. N/A
Project Name: ATC 5110 - Sprint M113XC056-AngleRoad-StLucieCo
Setbacks Front NIA Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK'
Existing Communications Tower: Installation of 3 new panel antennas and installation of 3 new RRU's
(radio units).
CONSTRUCTION INFORMATION:
at
tiona wor to e e orme un ert ispermd—c ec a appy:
LJHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof N/ Roof pitch
Total Sq. Ft of Construction: 0 Sqi —F—t.� of First Floor: N/A
Cost of Construction: $ 20,000 Utilities:nSewer Septic Building Height: NIA
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
4�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: I IIL— 05LA2
cop Building Permit Applicatio dM�
Planning and Development Services Building and Code Regulation Division Q V
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial To-,coODraum Res ential N/A
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 12200 W. Angle Rd. Fort Pierce Florida 34945-4120
Legal Description: IS LSe sn ROF NE I/NLM EnOFTNPRM'o NE I. SKl.NINENO NNW M a OFTNNPNM'o O11 OF GE E6Cro THNPNNIDLEseC Im R MD¢uelERroEGMT.0. NiS 101C SEOFF AS IN OENI.-C
O0. f9VIR6 M.I.M. FRONDE 10411. RUN N W CEO W YIN 395EC. ELI OF DEC INBS R IS PoB.TKGES DEG 15 MIN 21 SEC W IR]S FT.TN NEE DEO N.IN95SEO W 515]5 R.M NN DEG 51 WNHSEO E2155.Y RTOSLY ENSGI NENi NEBT/.TE PMVF.
Property Tax ID th 1332-211-0002-000-5 Lot No. NIA
Site Plan Name: ATC 5110 - Sprint MI13XC056-AngleRoad-StLucieCo Block No. N/A
Project Name: ATC 5110 - Sprint M113XC056-AngleRoad-StLucieCo
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK: III
Existing Communications Tower: Installation of 3 new panel antennas and installation of 3 new RRU's
(radio units).
,CONSTRUCTION INFORMATION:,
Additional worK to e e orme under t—checkispermit a apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric El Plumbing []Sprinklers ❑Generator ❑Roof N/A Roof pitch
Total Sq. Ft of Construction: 0
Cost of Construction: $ 201000
S Ft. of First Floor: N/A
Utilities: Sewer ❑ Septic
Building Height: N/A
OWNER/LESSEE:
CONTRACTOR:
Name S t�Tn-'v
Name• CO CcrnNh
Address:—(: 546 '6f\v%% Pk% -)A
Y
Company:14
City: Stat
Zip Code: OGaS \ Fax:
Phone No.
Addre33s�:t'1S0 SQauglp� Ro{ ,u
City_z'%tmdA State:AL
Zip Code: 32-1 CO Fax:
Phone No. Y;0i� if Z �— 761 1
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: /0erk ,"4Fi kq @ atte�SrLis • cp{'h
State or County License: SC C J_, /1 SO 9! d
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
F L OT•,R 1D• A.
Permit Number: J I
Illm Building Permit Application
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 T—ercollo-ion Residential WA
PERMIT APPLICATION FOR: Other III
Address: 12200 W. Angle Rd. Fort Pierce Florida 34945-4120
Legal Description: R N ER. RIFTOENE T. Ir .OFTNMANDSE I.. sw.r OIFmxmcArvoxww..OFTTIRNANDS wOFSEO1ENSTOTRNMANOLEsss IWET AND SUMECT TO EslnoreR x ECOF isms FTAS IN CDR Iam
W. 3T148AND1£5S MOM SECOND OF BEG RUN NDODEOSOMN ABECEALG E UOF SEC 151.9SFTTORDD.1HSSDDEG48 YW 215EC W MISS R.TI N W OEO W MIN YGEC W SRM R.TH NOR DM51 MIN
Property TaxlD-ff,?332�211-0002-000-5._____ _ Lot.No.N/A
Site Plan Name: ATC 5110 - Sprint M113XC056-AngleRoad-StLucieCo Block No. N/A
Project Name: ATC 5110 - Sprint M113XC056-AngleRoad-StLucieCo
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: NIA
Telecommunications Tower Collocation of Electronic Equipment: Replacement of existing transmission
panels on the cell tower and electronic equipment on ground level.
Haumonai worK to De errormea
0HVAC Gas Tank
unaer tors permit— cnecK an apply:
E]GasPil
Windows/Doors
_Shutters
Electric_._.�_0
-_Sprinklers ElGenerator
11 Roof N/A _ Roof pitch
Total Sq. Ft of Construction: 0
Spi —F—t.� of First Floor: NIA
Cost of Construction:
$ 20,000
Utilities:'nSewer Septic
Building Height: NIA
OWNER/LESSEE;. z -
CONTRACTOR:.
Name
Name: Rfmomin Ey_-e.,
Address:
Company: 45
City: State:_
Zip Code: Fax:
Phone No.
Address: .S R[LOI0 RMQOn NO
�4yS�n
City: r L1 woryl Stater
W
Zip Code: S2.m) Fax:
Phone No. u0qL_t4�_g_g17I
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: DP�YYI l T
I I �t A
LOI(i PSSG�S-CUYY)
State or County License: f (JS1I5Qq-]0
It value of construction is SZ5o0 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
is
which 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
commencingwork or recordingour Notice of Commencement.
es
Rev.8/2/17
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DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:t2200W.MgleRd.FortPierceFlantla349453720
Address:
City: State: FL
Zip: 32708 pj'tprteChrislopherJ.Warren:813727-2484
City:
Zip; Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: lnario Haamgs ttc
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City: 162690at Ave., Vero Beach, FL 32966
City:
Zip: Phone:
Zip: Phone:
Signature of Owner/ Contractor as Agent for Owner
Signature of C or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF (�1"(%IYl(/i P.
COUNTY OF �)Ifa
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
� Decembrt�
this � day of_, 20� by
this day of . 2oL by
ame of person making statement
%me of persgn making st tement
Personally Known OR Produced Identification
Personally Known 1/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si aVd of ota
(Signatur of No ry Public- a on
ryPublic State of Fbritla
yV Notary Public State of Fbritla
� Jerrica N Ruiz
Commission No. �� JemCa N p,uz'1
Commisst on GG t58a7e
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Commission No. �$@Ofl���sston GG 15647e
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Expires 10130f2027
gpoF E pins OI30/2021
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