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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL-APPUCABLE1NF0 MUST BE COMPLETED FOR APPLICATION TO BE ACC Date:SCANNED PermPIE­­D umber: i804-0853 ag BY ER St. Lucie Codngy ay. Building Permit Application 1 Planning and Development3ervlces Building and Code _Regulatiod(baisFon- - 2300 Virginia Avenue Fort Pierce FL 34982 - ,.:, Phone: (772) 462=1553 Fax: (772j 462,1578 COmrTIE'.i CI21 RBSIdefltidl'. PERIVIIT:AP,PLIGATION FOR: EIecfrical ' W v Address: 10680'South Ocean Drive,lensen•Beach,FL 34957 . tegai Description: Seesttached prooer[y Appraiser'Pioyertp Card Property Tak lb #::=4kl1 _5164000"=00075 - LotNo. Site'PlanName: Island CrestConcloniiniunti ,, . Block ~No, • _ Project-'NameSprint M154V m4 Setbacks Front Back: ,,RightSi8ee L"e'ftSide - DETAILED DESGRIPT10lV C�FWOftK 7 ,� �v", .��1a Upgrades to existing Spriat;Tel&6ih nications facilityadding three.(3) antennas.an&three(3)=RRU's with. associated jumpers and cables. C®tJSTRU IdN'IN ORMA710N� ter= 3 r v..v.. vn r\kt.. Iona wor toe e orme un ert spermit-c ec aaL'.uapply, ' ❑HyAC �Gaslank []Gas _Shutters ❑.Windows/Doors - . �Eled6icr E-Plumbing �Sprinkiers Generator �LDRoof Roof;pitch Total Sq.;Ft of Construction:- S . Ft of First Floor _ _ u Costof.Construction $ 15000 Utilities:]Sewer'❑Septic Building Height: OWN6R%LESS Rr GONTRAATi a;4,. a Name Island CrestC-ondornHurn Assocaation==Inc.. ' "Name- _ _ — - -r. Address: MM'OR.6rennDrive 'Company-AtlantirTnwerServicPc(ATS) Gty; Ten`senBeach _ ' State: FL Addressa .450 S:-Ronald `Reaean Blvd. _ - City: Longwood State: Fl ; Zip:Co ie: 34957 Fax:' ;d Phone No.. _ Zip Code: 32750. Fax: 'E-Mail: Phone N6.407=423=9071 _ . Fill infee simple Title Holder'on next page (if different _:._ 1-Mail: dilly@accessa@s:coia State or County License, SCC131150970.._ from the Ownerlisted above) If value'of construction is,$2500br more,"a RECORDED'.Noticeof Commencement ls-regnlred. - am� ."DkSlcj - N NotAPplidablile 9=eers1n6:)u1ii MQRTGAG1Et6MPANY-. NoOpplidble PNbme:, Ahdrfewi, Name:,.,. "Addrd ss- :800 Ncikth,Mijkiiohi Avenue Suitel000 -Addretg: "fate:' 'Plty. S ' cit'V. �_ 'State: FL ip., Phdne 321�354-9724- Zip. EE-SIMPLE-t[TJLIE�HOLIJER.-�_ Not.ppliA cable-." - �BON[?!Nq COMANY. NotApplicable,, P "Nam'e: Address:" ''City City' .,, zip.,,Phone: ,TO: Phime: accessory WARNING- 'imp'rpyerqe §pfofe mthii rnni ��_ I I w anAr Siiriafur0 L6sseejContr&ctor as Agent for Owfief: Sig r Uckpse Holder, STATE OF LR I A E,OF STAT& OF COUNTY OF, n ;COUNTY 0 jen 11s acknowledge iiie'i,' 'inifinstru t :kriowledgedb6fore.Ke The jqrZomg in-strument-Wa I s ackhowled&d before 64 'day this ay of _ My this LE of M ame 0 P f Irgo'n makini'sta4merit me of . ppersonmaki making statement Personally, --dRPr8d6ced.Identi_- 1116tibii Y personalty Known 611'Piod6md Identification Ty0e of.luen-tifi.cation `Type of identification' , ' Prodc , ed i- Prodtic ed ==f24 (Signature of N66rfubli& i ignature6fN6ta ub ic-Sta I' I a Pubgcftte of �C6mmisiio(LN6_ MY, COTAMion'GG 107386 ftmission N ------ My 'GG10 081274M Camndsston REVIEWS 'FRONT ZONING SUPERVISOR, PLANS 'VEGETATION �,SEATURTLE UANGROVE' :COUNTER REVIEW -REVIEW REVIEWJkEViE"(' REVIEW REVIEW,DATE .RECEIVED DATE .COMPLETED ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1804-0863 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 X Residential PERMIT APPLICATION FOR: Electrical III Address: 10680 South Ocean Drive, Jensen Beach FL 34957 Legal Description: See attached Property Appraiser Property Card Property Tax ID #: 4511-516-0000-000-5 Lot No. Site Plan Name: Island Crest Condominium Block No. Project Name: SprintM154XCO13 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Upgrades to existing Sprint Telecommunications facility adding three (3) antennas and three (3) RRU's with associated jumpers and cables. CONSTRUCTIO_ N INFORMATION itiona wor o e e orme un ert ispermit—c ec a apply: J ❑M 0GasTank ❑Gas Piping _Shutters _❑Windows/Doors ❑Electric ❑Plumbing []Sprinklers ❑Generator ❑Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 15,000 S Ft. of First Floor: _ Utilities:llSewer ❑Septic Building Height: OWNERAESSEE:" _ CONTRACTOR: Name Island Crest Condominium Association Inc. Name: Benjamin Ekey A fe55: 106R0 S. C)cean nrive -- City: Tensen Beach State: FL -Zip -Code: 34957 Fax: Phone No. E-Mail: Company: Atlantir Tower Servirnc CATS,) Address: 450 S. Ronald Reagan Blvd. City: Longwood State: FL Zip Code: 32750 Fax: Phone No.407-423-9071 E-Mail: cliUY@accessats.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: SCC131150970 IT vaiue or mnsirucuon is Sabuu or more, a KlcoKOtD Notice or commencement is required. SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Dewberry Engineers Inc.- Tulie Andrews Address: 800 North Magnolia Avenue Suite 1000 MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: _ Zip: Phone: City: Orlando State: FL Zip:32803 Phone 321-354-9724 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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-wm*-or recording vour Notice of Commencement,----1 Signatur 0 Lessee/Contractor as Agent for Owner Signettls or License Holder STATE OF L I A STATE OF R'JD COUNTY OF COUNTY OFJ Gf T 1 I n c)ir, The f rg ing instru ent w s acknowledge before me thismayof I The fo,r�gg�ing instrument was acknowledged before me this_h'dayof JLtl� 201Vby 2015by ('L�l I� F- -e'J Pr-� tnx ly—) �I/CQ : ,game of pevm ryon making stat ent me of person making stateent m Personally Known OR Produced Identification A Personally Known OR Produced Identification _ Type of Identification _� Type of Identification Produced Produced C (Signature of Notar ublic• i 'gnature of Nota ublic- Ste i a .Wr p1ote Public SNtO b Fbrlda _Commission No. (F1I �bvlh s - -r- My CommissionGG107066- odST W� Public State of Rcd C _mission No. ?-\� �.I bwn@or- ---- — — ------ -- -pc�i an Fires 06272021 • My Commission GG i07 00� Ezpires0627/2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' �� I_ Permit Number: lV RECEIVED Building Permit Application APR 3 0 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 - ` Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Electrical III Address: 10680 South Ocean Drive, Jensen Beach FL 34957 Legal Description: See attached Property Appraiser Property Card Property Tax ID #: 4511-516-0000-000-5 Lot No. Site Plan Name: Island Crest Condominium Project Name: print M154XCO13 Setbacks Front Back: Right Side: Left Side: DETAILED. DESCRIPTION OF WORK; Block No. Upgrades to existing Sprint Telecommunications facility adding three (3) antennas and three (3) RRU's with associated jumpers and cables. CONSTRUCTION INFORMATION: rtiona Won to ePeorme under tispermit—check all apply: ❑HVAC 0 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric tI Plumbing Sprinklers 0 Generator Lid Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 15,000 S Ft. of First Floor: Utilities:12SewerE]Septic Building Height: OWNER/LESSEE: CONTRACTORt = T — _ _ -_ _ farrF - `Name IslancLCrestCondomtmum Association -Inch - —_-- _ `Name Benjamin Ehey Address:- 1n6Rn S- Ocean Drive City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. Company: _Atlantic T'nurer Services (ATS) Address: 450 S. Ronald Reagan Blvd. City: Longwood State: FL Zip Code: 32750 Fax: Phone No.407-423-9071 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: dilly@accessats.com State or County License: SCC131150970 If value of construction is $2St10 or more, a RECORDED Notice of Commencement Is required, SUPPLEMENTAL CONSTRUCTION LIENz LAW INFORMATION; DESIGNER/ENGINEER: _ Not Applicable Name: Dewberry En&eers Inc: Julie Andrews MORTGAGE COMPANY: _ Not Applicable Name: Address: 800 North MaP,nolia Avenue Suite 1000 Address: City: Orlando State: FL Zip: 32803 Phone 321-354-9724 City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable {dame: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. Icertify 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 commencingwork or recordin our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signatu of Contractor/License Ho - STATE OF FLORIDA X STATE OF FLO81DA COUNTY OF COUNTY( w ripe . The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of . 20_ by this 17 day of rpa 20 ff by Benjamin Ekey Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced Z i (Signature of Notary Public- State of Florida) (Sig6itdre of Nota lic- Sta Fig= --No_i_@7 Public State of.Fbn Commission No. GG159476 ?4 N Ruiz _—.yv Commission No. (Seal) y ommisswn GG 1564 i Ni dP Expnes.10/30/2021 REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED (97 Rev.8/2/17