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HomeMy WebLinkAboutBUILDING PERMIT CERTIFICATEMI54XCO15 OFFICEUSE-ONLY:- DATE FILED: PLAN REVIEW FEE:. RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: PERMIT NUMBER: CERT. CAP. NO.: t ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED DEVELOPMENT SERVICES DEPARTMENT )ING & CODE REGULATIONS D D 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 BY 772-462-1553 St, Lucie County for BUILDING PERMIT ... ..... ,". ,. „X ,..� CITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 3100 Ocean Drive, Fort Pierce, FL 34949 2. PROJECT NAME: Sprint 2.5 SITE PLAN NAME: Sands on the Ocean 54XC015 3. PROPERTY TAX ID #: 1425-606-0083-000-3 I ` © 4. LEGAL DESCRIPTION (attach extra sheets if necessary): Sands on the Ocean 1 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. "PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: w 1. 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Upgrade existing telecommunications facility including (3) Antennas and (3) RRUs and associated jumpers and cables SETBACKS (ACTUAL) FRONT: ,G BACK: -' RIGHT SIDE: --- TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION RESIDENTIAL OTHER (SPECIFY) LEFT SIDE'-- [ ] EXPANSION/ADD]TION [ ] INTERIOR RENOVATION [x ] COMMERCIAL [ ] INDUSTRIAL DESCRIPTION OF PROPOSED USE: Telecommunications VALUE OF CONSTRUCTION: $ The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted witb this application. SLCCDV Form No.: 001-02 UPDATED6/25/09 t OWNER INFORMATION CITY: Overland Park STATE: KS ZIP: 66251 PHONE (DAYTIME): (880_) 357-7641 Email: landlordsolutionsAsprint.com IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: Sand on the Ocean ADDRESS: 3100 OceanDrive ww-bY& PHONE (DAYTIME): CONTRACTOR INFORMATION ZIP: 34949 ST. of FL REG.CERT #: CGC1514455 ST. LUCIE COUNTY CERT #: 28937 BUSINESS NAME: Net-com Services QUALIFIERS NAME: Brant Curtis Moffatt ADDRESS: 3522 EI Cento Street CITY: St Pete Beach STATE: FL ZIP: 33706 PHONE (DAYTIME): (888_)NCS-0887 FAXNO. 260-572-2253 Email: kendra@net-comservices ARCHIT/ENGINEER: Powder River Development Services ADDRESS: 820 W Indiantown Road Suite 104 CITY: Jupiter STATE: FL ZIP: 33458 PHONE (DAYTIME): (561_) 972-5511 BONDING COMPANY: ADDRESS: CITY: ADDRESS: 10110 STATE: STATE: - ZIP: ZIP: - IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE 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 SCANNED FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR BY LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF Lucie County COMMENCEMENT. St. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. 1 �1 �.:L.:� / STATE OF FLO A COUNTY OF . Ut.0_ leL The foregoing instrument wasacknowledgedacknowledged before me th(iss _\ % dayjof�yolt�-���c 20 � LA by i(1 I I C �J lJl-.1 I who is personally known// or has produced as identification. Signature icole LNlanm' y, A, Commission FF 024412 Expires 0e/052017 Li ILw. • •R SIGNATURE STATE OF FLORIDA 1 A COUNTY OF afp\pJOt The foregoing instrument was acknowledged befe .b a: P me this day of 20 '� by Zf m 3...m who is personally known or has produced m a � 00 in 0 o � as identific y 1� N / z g Z m 11LoyLL NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY BP ngl - - SECTION TOWNSHIP RANGE MAP NO. ZONING I q r LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 11T FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE ' HABITABLE AREA 0 RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BLD IMPACT FEE L PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE./EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF _ ELECTRIC GAS PLUMBING _ NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE .—RECEIVED— DATE COMPLETED INITIALS