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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1
SCABNY
WIN
y EDEl
St. Lucie County
Building Permit Applicati
APR 2 5 2018
Planning and Development Services
Building and Code Regulation Division LIP
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fa�, (772) 462-1578 Commercial T-erco0oruuonL3 51 entla N/A
PERMIT APPLICATION -FOR: Other
I-P_ROPOSED;IMPROVEMENT.LOCATION: I
,'ems" 'Minute Maid Ramp Road, Fort Pierce, Florida 34945
Legal Description: 11 34 37 S 1/2 OF NE 1/4 (84.72 AC) (OR 451-1720: 993-1103, 1
1111-1 I— E7E�71— C�7i�
Property Tax ID #: 1111- 01-000-4
Site Plan Name: ATC 2680 -Sprint M113XC161-FortDrum
Project Name: ATC 2680 - Sprint M113XC161-FortDrum
Setbacks Front N/A Back: N/A Right Side: N/A
Left Side: N/A
Lot No. N/A
Block No. N/A
Sprint proposes to modify an existing unmanned telecommunications facility: install 6 antennas, 8
RRU's, 3 - 1.25" Hybriflex Cables. ��,,
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CONS TRUCTION-INFORIVIATION '„ •-' -.-•
7
-
•
Additionalworkto a erorme
under
tis permit—checka
apply:
11HVAC
ff
Gas Tank
❑Gas
Piping
_ Shutters
❑
Windows/Doors
11 Electric 0 Plumbing
Sprinklers
ElGenerator
D
Roof N/A Roof pitch
Total Sq. Ft of Construction: 300
S.Ft. of First Floor: N/A
Cost of Construction: $ 20,000
Utilities: LJ Sewer Septic
Building Height: N/A
OWNER/LESSEE:.„'
CON --TRACTOR.
Name
Name:Benjamin Eke Y
Address... T - I'rtr f �,
Company: Atlantic Tower Services
City: State M
Address: 450 S Ronald Reagan Blvd
Zip Code 1 m Fax: _
City: Longwood State: FL
Phone
Zip Code: 32750 Fax:
Phone No. 407-423-9071
E-Mail: cnt7C�No. ' ,�1 =r
Fill in fee simple Title Holder on next page ( if dl fere nt
E-Mail: Permitting@accessats.com
from the Owner listed above ;. „,, „„
; , 55
t;�11
State or County License: SCC131150970
_:
iT vaiue oT construction is>zsuu or more, a KEcoKOED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address: 25500 Minute Maid Ramp Road, Fort Pierce, Florida 34945
Address:
City: State: FL
Zip: 32708 Phone Christopher. Waeen:813-727-2494
City: State:
Zip; Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name; Greene Groves and Ranch Ltd
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City: 2075 38TH AVE., VERO BEACH, FL 32960
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
commencingwork or our Notice of Commencement.
i
Signature of O er/ Lessee/Contract s Agent for Owner
Signat cf Contractor/License Holder
STAT F FL
S TE OF FLORI
COIN F
COU F
The f r ping instr ant was acknowledged before me
MM by
The forgoing instrument was acknowledged before me
ithis _Zday ofTl by
this�dayof .20-V
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PPnOolln EKC i
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N e of perso making st ement
ame of persgn making st ement
Personally Known, OR Produced Identification
Personally Known X_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Sign r of Notary Public- St
lg re f Notary Public- State of
Notary Public State of Flo
0 P4i, Notary Public State
Commission No. %9S�CommoRsalnGG 15sa
y p
tom fission No. `� e81) Jenira N Ruiz
My Commissan G
Expiroe 10/30/2021
yor
Fyor pdP Ezpiresl0130I2021
�M
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVI W
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I ��
DATE
COMPLETED
Rev.8/2/17