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