HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED + V Lia O
Date: SCANNED BY Permit Number:
s � �jI St. Lucie County
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 Xx Residential _
PERMIT APPLICATION FOR: Generator II
PROPOSED IMPROVEMENT LOCATION n.•,
Address: 24880 Okeechobee Road Ft. Pierce, FL 34945
Legal Description:.6 36 38 all of sec lying N of sr 70 as amended in or 1683304-less that part mpdaf:beg NE cor of sec run S 00 02 18 W al E sec LI
2000 ft, th N 49 26 54 W 537.72 ft, th N 11 3742W657.77 ft, th N 11 5652W517.18 ft, th N 12 21 26W212.44 ft, th N 124857W306.93 ft to N Ll of
sec. th S 89 30 07 E ala N LI 763.13 ft to POB and less 1.81 AC to adems ranch-(297.09 AM
Property Tax ID #: agog-111-nnnl-onng Lot No.
Site Plan Name:
Project Name: TMO L700 MHz
Setbacks Front Back:
DETAILED' DESCRIPTION OF WORK
Right Side: Left Side:
Add -in em�e(genc�t OJene(-gt0YL_ and Slgb� �'i�S�-ln
U: twl yQCI Iir ,,
Block No.
CONSTRUCTION INFORMATION:,'.
Itlona wor to e e orme under this permit-- check a apply-:____
11HVAC 0GasTank []GasPipingShutters ❑Windows/Doors
11 Electric El Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 110,000.00
S Ft. of First Floor: _
Utilities:Sewer DSeptic
Building Height:
OWNER/LESSEE: `
CONTRACTOR: >>'
Name T-Mobile South LLC
Name: Dan Ault
Address: 1300 Concord Terrace Suite 200
Company: Glotel, Inc
City: Sunrise State: FL
Zip Code: 33323 Fax: NIA
Phone No. 954-514-8020
Address: 3060 Orange Grove Trail
City: Naples State: FL
Zip Code: 34120 Fax: NIA
Phone No. 239-776-5884
E-Mail: Denise.Correa6@T-Mobile.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: danault@olinwaynecompanies.com
State or County License: CGC1522761
If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required.
'LEMENTAL CONSTRUCTION LIEN LAW INFORMA
DESIGNER/ENGINEER: x Not Applicable
Name: WX
AddrP« L�G7 L�nYePn_�1op�O
., L
City: IY)i State: FL
Zip:, Phone: _ "7 —
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: Arcco Of St.Lucie Inc.
Address: PO BOX 12909
City: Fort Pierce, FLodda
Zip: 34979 Phone: N/A
MORTGAGE COMPANY: x Not Applicable
Name: N/A
Address: N/A
City: N/A State: NIA
Zip: N/A Phone: N/A
BONDING COMPANY: x Not Applicable
Name: N/A
Address: N/A
City: N/A
Zip: N/A Phone: N/A
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, 1 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
TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
�ts to yogr property. A Notice of Commencement must be recorded and posted on the jobsite
Irst inspgction. If you intend to obtain financing, consult with lender or an attorney before
_ Sr natq're of Owner/ Lessee/Agent
STATE OF FLORIDA
�����
COUNTY OF
The forMQing instrumen,t was —acknowledged before me
�
this ay of Wes, 20 LLby
(Name of person acknowledging)
Personally Known ✓ OR Produc d Identification
Type of Identification Produc
a4 ,01 Notary Public State of Flodda
eto
Commission No. OV11 mis
g mbelon GG 027630
OF Expbee11H912018
Revised 07/15/2014
STATE OF FLORIDA
a
&a
COUNTY OF
The forgoing instrument was acknowledged before me
this ld— day of : (/ 20 ,�k by
(Wnature of Now Public -St
Personally Known �OR
ilvoe of Identification Produce(
No.
IdenTific ion
#Ff 1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
IC ,
A2P0309M
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED
Date:
Permit Number: I 010 • Nao
RECEIVED
Building Permit Application JUN 15 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Fl. 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Xc Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED 1110.13116VEMENT LOCATION-.
Address: 24880 01keechobee Road Ft. Pierce, FL 34945
Legal Description: 636 38 all of sec lying N of sr 70 as amended in or 1683-3044ess that part mpdaf:beg NE cor of sec run S 00 02 18W al E sec LI
2000ft,thN492654 W537.72ft,thN 11 3742W657.77 ft. th N 11 5652W517.18 ft, th N 122126W212.44 ft, th N 124857W306.93 ft to NLl of
sec. th S 89 30 07 E ato N LI 763.13 ft to POB and Tess 1.81 AC to adams ranch-(297.09 AM
Property Tax ID #: _nnnq
Lot No.
Ch Site Plan Name: et iQ f *mz _ iPro w-C:4 fS &I SC') AS) � =1AI Block No.
Project Name: TMO l_700 MHz
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:"
Pddln -""
al recut E4Co, &e_UZ 446 l _ 4y.
CONSTRUCTION INFORMATION:
AdditionalworKtopenefformedunder tispermit—check all apply: r
OHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors L
RElectric OPlumbing []Sprinklers Generator gRoof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,000.00
S Ft. of First Floor:
utilities:SewerE]Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name T-Mobile South LLC
Name: RobertKoenekamp
Address:1300 Concord Terrace Suite 200
Company: East Ocean Electrical of Florida
City: Sunrise State: FIL
Zip Code: 33323 Fax: NIA
Phone No. 954-514-8020
Address: 1581 Bayridge PI
City: Wellington State: FL
Zip Code: 33414 Fax:
Phone No. 561-482-3391
E-Mail: Denise.Correa6@T-Mobile.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: standaemerelechic@gmad-001n
State or County License: EC0000187
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
A2P0309M
°;SUPPLEMENT LtONSTAUU10NUEN
LAW„INFORMAT10N
;y
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name:
Name: N/A
Address:
Address: N/A
City:
State: FL
City: N/A
State:
Zip: �a�j Phone:
- L/- )tS
Zip: N/A Phone: NIA
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name: Aroco Of St.Lucie Inc.
Name: N/A
Address: PO BOX 12909
Address: N/A
City: Fort Pierce, FLorida
City: N/A
Zip: 34979 Phone: N/A
Zip: N/A Phone: N/A
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
TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
ants Jo your property. A Notice of Commencement must be recorded and posted on the jobsite
igrsViiinspection. If you intend to obtain financing, consult with lender or an attorney before
gna ure o Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF bt%a".<
The forg g instrum t was acknowledged before me
this ay of J&fte . 20 (Eby
m C&y I V t5e'1)Dcw M
(Name of person
� acknowledging)
' d C, -1A
(Signature of NotaN Public- Stake of Florida)
Personally Known ✓ OR Produced Identification_
Type of Identification Produced —A 1/4
Commission No.
_ Nota a Stteb
STATE OF FLORj6iAfa_
COUNTY OF fY�'►") / �f6ti
The fo oing instrument was acknowledge before me
this Tday of iVi/1 20`)' by
Personally Known I
Type of Identification
Commission
OR Produced Identification
State of
GG
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVfEW
DATE
COMPLETE
INITIALS