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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED SCANNED 1114/19 Date: BY Permit Nu41 777 tt =;R; St. Lucie County Building Permit Ap 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 FEB 4 - 2019 BY:a maA, Residential PERMIT APPLICATION FOR: Other III I-PRr]P_(]SFI)'IIVIPRnUFIVIFNT Lf)( ATInN ' '' "' III Address: 8731 S. US Highway 1, Port St. Lucie, FL 34952 Legal Description: A portion of Lot 16, lying west of US Highway 1, Block 3, St. Lucie Gardens, as per plat thereof, recorded in Plat Book 1, Page 36. of the Public Records, St. Lucie County, Florida. Property Tax ID #: 3414-501-1916-35D-7 Lot No. Site Plan Name: M190XSRRL / 93410 / 20-2115-1 Block No. Project Name: Sprint / Syscom / Lamar Billboard Small Cell Antenna Setbacks Front Back: Right Side: Left Side: hDETAILEDiDESCRIPTION &WORK r "'<III Installing pipe mast to hold 1 omni antenna, 1 LIE Relay and 1 RRU mini radio. We will run 1 - 3/4" #12 conductor SOO wire from Lamar's breaker panal to our PPC box for power and 1 - 3/4" ethemet (CAT-5E) cable to the UE Relay. We will install 1 - 20 amp breaker in Lamar's breaker panel. �GasTank E]Gas Piping ❑_shutters QWindows/Doors Plumbing []Sprinklers 11Generator Roof = Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 10,OOD S Ft. of First Floor: Utilities"nSewer ElSeptic Building Height: Billboard3T OWNER/LESSEE,. `` CONTRACTOR'. Name Sprint (Michael Burkhead, KGPCo as Agent) Name: Ye _rTSay[o� Address:6391 Sprint Parkway, Mailstop KSOPHT0101-Z2020 City: Overland Park State: KS Zip Code: 66251-2020 Fax: Phone No. (407) 617-0167 Company: uestream Professional Services, LLC Address: 3305 Highway 60 West City: Fadbault State: MN Zip Code: 55021 Fax: Phone No. 507-334-2268 E-Mail: michael.burkhead@kgpco.com Fill in fee simple True Holder on next page (if different from the Owner listed above) E-Mail: stephen.saylor@kgpoo.00m state or County License: COG' 626974 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. l�SUPPLEME'NTALCONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable Name: Foresite Gmup. Inc Georges. Reynokis Address- 3740 Davind court, suite too City: Peen ree cmnera State: GA Zip: 30092 Phone(404) 21682161JdlazV9-Inoael FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Betsy M. Ha0 Revocable Living Trust Address: 10980 south ocean Ddn. sax City: Jensen Beam. Fbdda Zip: 34e57 Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: 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. no ermit holder to build the subject structure covenants that may restrict or prohibit such tr 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 work or recordine vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Sigiraturd of Contractor/L ce a Hy1 er ,(AN STATE OF FLORIDA STATE OF FIDE COUNTY OF Sri,,. f � COUNTY OF c -e2, P_ Theforgoing instrumentwas acknowledgepefore me The forgoing instrumentwas acknowledged before me this,5I day of Joann , 20 !Y by this ,2_4 day of Jm—n . 20f by Michael E. Burkhmd Stephen saybr Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced `/i....-. — -- Produced Notary ublic-State of Flor d (Signature or�wy (Signatur f Notary Pub]i Sttit@9 Commission Notary PublicStateNa" IWet30n �`"' ANGF1A.p. CE MA Commission No. NO lb -Minnesota My CommissionGG 185952 My Color I011 Fxp res 1131 Expires 12t062021 REVIEWS FRONT ZONING SUPERVISPR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 M ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/30/18 SCANNED Permit Numb - • , BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X �/ - - u 131 IE' CI V AUG 3 12018 Permitting Department St. Lucie County, FL PERMIT APPLICATION FOR: Other UT tl I -) C \-J III PROPOSEDIMPROVEMENT LOCATION: Address: 8731 S. US Highway 1, Port St. Lucie, FL 34952 8 c�1 — 8-7 b,5 YC Legal Description: A portion of Lot 16, lying west of US Highway 1, Block 3, St. Lucie Gardens, a er plat thereof, recorded in Plat Book 1, Page 35, of the Public Records, St. Lucie County, Florida. Property Tax ID #: 3414-501-1916-350-7 Lot No. Site Plan Name: M190XSRRL / 93410 / 20-2115-1 Block No. Project Name: Sprint / Syscom / Lamar Billboard Small Cell Antenna Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Installing pipe mast to hold 1 omni antenna, 1 LIE Relay and 1 RRU mini radio. We will run 1 - 3/4" #12 conductor SOO wire from Lamar's breaker panal to our PPC box for power and 1 - 3/4" ethernet (CAT-5E) cable to the LIE Relay. We will install 1 - 20 amp break in Lamar's breaker panel. CT10N L_JHVAC I Gas Tank LfGas Z✓. Electric Plumbing 11Spr Total Sq. Ft of Construction: Cost of Construction: $ 10,000 Piping LJ Shutters ers L=J Generator S Ft. of First Floor: _ Utilities:n Sewer 0 Septic Windows/Doors E]Roof = Roof pitch Building Height: Billboard 3T OWNER/LESSEE: CONTRACTOR: ` Name Sprint (Michael Burkhead, KGPCo as Agent) Name: i r BD Address:6391 Sprint Parkway, Mailstop KSOPHT0101-Z2020 City: Overland Park State: KS Zip Code:66251-2020 Fax: Phone No. (407) 617-0167 Company: Address, SO°l t'GLI;\ fCGP-r' ` City: t�OKOfy\k5 Stater Zip Code: 3Li2_1_5 Fax: Phone No. 9 LA I—X)Q' 0 23,3 i E-Mail: michael.burkhead@kgpco.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: ell0 tN 4 j\ W (iQ State or County License: 1309 7?1, If value of construction is S2500 or more, a RECORDED Notice of Commencement is required. .co MORTGAGE COMPANY: — Not Applicable — Name: Pomsite Gmup, Ina/ George S. Reynolds Name: Address: Address: 3740 Davin Court, Suite+oo City: State: City: Peachtree Comers State: GA Zip: Phone: Zip: 30092 Ph'one(4o4)21"210gmaz@lg4nanet BONDING COMPANY: Applicable FEE SIMPLE TITLE HOLDER: Not Applicable _Not — Name: Betty M. Hall Rewtable Living'rmst Name: dd Aress Address: +gsao scum ocean Drive, a814 City: Jensen Beach, Florida City. Zip: Phone: Zip: 34957 Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby in I certify that no work or installation has commenced prior to the i St. Lucie County makes no representation that is granting a permil which is in conflict with any applicable Home Owners Association structure. Please consult with your Home Owners Association and In consideration of the granting of this requested permit, I do hen In accordance with the approved plans, the Florida Building Codes The following building permit applications are exempt from under accessory structures, swimming pools, fences, walls, signs, screen WARNING TO OWNER: Your failure to Record a Notice of improvements to your property. A Notice of Commenci before the first inspection. If you intend to obtain finan to obtain a permit to do the work and installation as indicated. nice of a permit. :e the permit holder to build the subject structure or andcovenantsthat may restrict or prohibit such deed for any restrictions which may apply. agree that I will, in all respects, perform the work i St. Lucie County Amendments. ig a full concurrency, review: room additions, ms and accessory uses to another non-residential use lmmencement may result in your paying twice for ent must be recorded and posted on the jobsite g, consult with lender or an attorney before Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLOQJIDA STATE OF FLORID COUNTY OF l4eX/ i YIotl COUNTY OF �i42tA �O 1 V� The forgoing instrument was acknowledged before me this !0dayof ��;�k 20% by Name of person making statement Personally Known X OR Produced Identification Type of Identification (Signature of N q 56 ES FIgi{pWl MYCOMM9FF203815 Commission 14 SebaeE4S.2019 14071596e'33 rlaridrnoU 3enu xn REVIEWS FRONT ZONING SUPERVISOR COUNTER I REVIEW REVIEW Rev. The forgoing instrument was acknowledged before me this day of Qer7�i Prr bar— . 20-Lkby L ar2(Lr _k_)Ay,, eL rhSJ—wD) royi2W Name of person�r+aking statement Personally Known OR Produced Identification Type of Identification Produced i G/ �� (Signs ure of Notary Public- State of Florida FLORME B. STEPHEM Commission No.: r * I,iyoDtO MIFF244894 EXPIRES: July31, 2019 �-3'.45307 scw1hruBud1dN0h1ysenka I PLANS I VEGETATION I SEATURTLE I MANGROVE REVIEW REVIEW REVIEW I REVIEW