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Home My WebLink AboutBUILDING PERMIT APPLICATIONa. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:" 51ay 1144 SCANNED Permit Number: \$06-0G60 BY St. Lucie County n cr^FT\/ED Building Permit ApplicatLonMAY 2 4 Z018 Planning and Development Services Building and Code Regulation Division county, Per, 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Electrical Address: 6189 North US 1, Fort Pierce, FL 34946 Legal Description: See attached property record card Property Tax ID #: 1406-413-0003-000-8 Site Plan Name: Spain Tower Project Name: Sprint M135XC001 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. Upgrades to existing Sprint Telecommunications facility adding (3) antennas and (3) RRU's with associated jumpers and cables. CONSTRUCTION INFORMATION: - Adaiflonal work to e nerrormed under tispermit—check all apply: �HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construction: ScFt. of First Floor: Cost of Construction: $ 15,000 Utilities. Sewer 0Septic Building Height: OWNERAESSEE: n CONTRACTOR: Name Mary Jane Spain Trust Name: Benjamin Ekey Address: P.O. Box 350 Company: Atlantic Tower Services (ATS) City: Tupelo State: MS Zip Code: 33802 Fax: Phone No. Address: 450 S Ronald Regan 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@accessats.com State or County License: SCC131150970 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. i. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Dewberry Engineers (Julie Andrews) MORTGAGE COMPANY: _ Not Applicable Name: Address: 800 N Magnolia Ave. Suite 1000 Address: City: Orlando State: FL Zip: 32803 Phone 321-354-W24 City: State: Zip: Phone: 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 1 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 work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner nse Holder Signature of Co;elnbl-(f- STATE OF FLORIDA STATE - COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoinstrument was acknowledged before me this _ day of . 20_ by this �i�day of M (M 20Lb by Nng t am in Name of person making statement ame of pe n making statement Personally Known OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced o ti (Signature of Notary Public- State of Florida jSignature of Not u lic-State of Florida 1-tAlelNNh win-%051J Commission No. (seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW RE REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO'BE ACCEPTEDr Date: Permit N ber. ,=0660� - Building Kermit Application pldnning and Development Services Building and Cdde:'Regulation,Division 2300 V1rglalaAverrue, Fort Pierce Fl. 34982 P,honet,(772)462?iSS3 Fax;,(772)4624578- Camrnerciaix.._ {Residential PERMITAPP,LICAT' iON`F-OR: ;Electrical, address':; 6189 Norih,US 1, Fort Pieice; FL 3444'6_ LegalAescnption>See attached property, record card Pr#erty,Takb. #:;140&413-0003-000-8 Lot I No. site Plan Name:-SOWTower` BlockNo:,. Project Name: Splint Ml35XC001 Setbacks .Front .. Back:-RiightSide:._. Left Side; _ antennas,and"(3) RRU's with HDQILICIndLWOSR LO LIB. CUULIIICU, LUUCI M µanus-U'RGbK'all' app.y. _- �HUAC Gas Tank n6as?iping Shutters Windows/Doors �EiectHc ,:Plumbing.• ❑Sprinklers Q6enerator Roof Roof Ouch Total'Sq. FYof Construction:`* = Ft. of First Floor.. - CostofConstruction $ ?5,000 Utilities Sewer- Septic Building Height:: ONtVERfESSE,r= L GOiTRA =OR ' Name° Mary Jane paza , ,rust Name-,'- .Benjamin Fkey Address. P.O. Box 350. Company: AflantidTower Services (ATS) pity.- Tupelo_• --State`tz MS- Zip,Code.. 33802 Fax: Phone No. -Address -450'S Ronald Regan$lvd. --rt FL city ,Longwood ,_ State:- - Zip Code:. 32750' -. — Fax Phone No.,.407=423-9071 , , , E-MaiL' °` „• _ Fill in'feie simple Title Holder oo`rtext'page (if different from'the Owner listed above) E Mail . dilly�Vaccessats com SCC13115097Q State or,County L cense . : --. if vaiue."ofconstruction`is S2500 or more`�a.RECORDED ,Notice of Commencement is requires. SUPPLEMENTALA NSTRUCTION LIEN V1/vINFOR�MATIOrNy h;may }s; � tux p DESIGNER/ENGINEER: :Not Applicable MORTGA';E COMPANY: Not Applicable Name:=Dewberry Engineers (Julie Andrews) Name: _ Adel -ess::800 N-Ma `iiolia A i4,Suite 1000 Address: Cityi ,Oiland'o' Stater City:, State:, Zip: 32803 Phone-321-354-9724 Zip: Phone: . FEE:SIMPLETITLE HOLDER:, _'Not Applicable BONDING COMPANY: _Not -Applicable Name: Name: Address: City: • .Address: Zip. Ph -one: _ Zip Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit tondo the work and installation as indicated. I certify that no work or installation has commenced,priorto the issuance of a.permit. St. Lucie Counttyy makes no representation that is granting a ppermit 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,mayapply. In consideration.of the granting of this requested.permit, I do hereby agree that'I will, in ali'r@spects, perform the work, in accordance with plans', the approved pla, the Florida, Building Codes and St:Lucie County Amendments: The following building permit, applications are exempt from., undergoing a full concurrency review: rooimadditions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory.uses to'ahother non-residential use Signature of 0 r esse ' actor as Agent for Owner Signaturep - t Holder STATE_0 , STATE OF FLORIDA: . COUNTY O Yl _ COUNTY The ,,f�QQQ'� rggggggpppppp��" g instrryyM(newas acknowledged before me this day of lJ lil t 20 t7 by° The ��o��pp�iinginstryy"m,gg 4-'' s acknowl.ed��e,,,�� tiefore roe this�'d'dy of • J N� 20{ O •fly X� �r�rniY� Ei��f: IF�x�c�lry�iY��! Na of perW making statemen OR erne of pe n making'staterriefit, Known X OR Produced Identification Personally Known Produced Identification._ Personally Type of identification Type of,ldentificaiion - "- Produced Produced gnature'of Notary ublic-;5taWof_Flloorri,�d`+a nature;of,Notary Pu I =State of Florida,,) : Comioission.No. +�.t'n Pubft Stated - f eM mulixlix GG lot o Puhee Steti No: I) wGG iiiii �i d� OeR7R021 -fission REVIEWS FRONT _ ZONING SIUPERViSOR PLANS VEGETATION, SEATURTLE MANGROVE COUNTER 'REVIEW REVIEW REVIEW REVIEW REVIEW "REVIEW DATE RECEIVED DATE_ COMPLETED II Rev.`8/2/17 u1135XG<J� I ,. , ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1805-0660 0 y Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 24982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Electrical PROPOSED. IMPROVEMENT LOCATI.ON: Address: 6189 North US 1, Fort Pierce, FL 34946 Legal Description: See attached property record card Property Tax ID #: 1406-413-0003-000-8 Lot No. Site Plan Name: Spain Tower Block No. Project Name: Sprint M135XC001 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Upgrades to existing Sprint Telecommunications facility adding (3) antennas and (3) RRU's with associated jumpers and cables. C6NSTR'UC_r1'6N:INFORMATIO_ N- AdclitionalworKtODeperformedunclerthis permit—checK all apply, ❑HVAC ❑Gas Piping Shutters ❑Windows/Doors Gas Tank _ Electric Plumbing []Sprinklers FJ Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: 0Septic Height: Cost of Construction: $ 15,000 Utilities:Sewer Building -0WNER/LESSEE; CONTRACTOR: Name Jane Spain rust Name: Benjamin Ekey Company: Atlantic Tower Services (ATS) —Mary Address: P.O. Box 350 City: Tupelo State: MS Address: 450 S Ronald Regan Blvd. -- Zip Code: 33802 Fax: City: Longwood State: FL Phone No. Zip Code: 32750 Fax: E-Mail: Phone No. 407-423-9071 Fill in fee simple Title Holder on next page ( if different E-Mail: clillvOaccessats com State or County License: SCC131150970 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of commencement is required. -SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Dewberry Engineers (Julie Andrews) Name: Address: 800 N Magnolia Ave Suite 1000 Address: City: Orlando State: City: State: Zip: 32803 Phone 321-354-9724 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Address: City: Zip: Phone: BONDING COMPANY: _Not App Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inoicateo. 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 firs ' spe n. If you intend to obtain financing, con su der or an attorney before m mnnrina 'n L nr r rnreiino \/lfl it Nn*IrP of COmmPn[PTPnt Signature of 0 r essee n actor as Agent for Owner Signature o tr 'eecue Holder STATE O COUNTY O Yl STATE OF FL--ORJ1D�A COUNTY OF,-' A—r-PAVi The f, ' rgp' g instrq;r+ent was acknowledged before me this 'day of V �(� . 201� by The o ing Instrym t as acknowled before me this day of J �� 2 by F-sPXI 1 r�YY11 Y1 E �£� j �Pli^lrY1 P(��I _ Na of person making statement Personally Known. OR Produced Identification _ Wme of pe;spon making statemeh t Personally Known, X OR Produced Identification Type of Identification Type of Identification Produced Produced ignature of Notary ublic- State of Florida nature of Notary Pu I -State of Florida) iiiiii Commission No. pt"SVeHniary Public Sate cfF �j My Crewnmfsskn GG 107 4jp M1o4E' Expires oarraozl Eo fission No. 1) Notary Public State g: My Commisoian G ',,,nod@ Expl=USlE720a1 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17