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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' '� cy1 Date:-��`f 1 D '3' 1 SCANNED %_7) Permit Number: 1 1 I O^ V ©(1� fs. '— i BY 5t. Lucie County - T 0 3 P019 Building Permit ApplicatioLc:RECEIVED County, perm 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 Yes Residential PERMIT TYPE: Building Alteration PROPOSED IMPROVEMENT LOCATIOW Address: Northside of Organe Ave in Ft. Pierce, FL -15.4 miles west of I.95 1 ?j If) 0rCt Innio Je Property Tax ID #: 2108-11 02-0[ Site Plan Name: MNSP- 1120185407 Project Name: VZW Wynne Ranch DETAILED DESCRIPTION OF'WORK: Installation of complete Verizon Wireless Communication infrastructure including: Lot No. Block No. associated equipment CONSTRUCTION INFORMATION: JeCtC�t 1" ,,ZCO2— OC�b Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters X Electric _ Plumbing _ Sprinklers X Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 233,211.17 Utilities: —Sewer _Septic _ Windows/Doors Roof Pitch Building Height: ,OWNER/LESSEE: CONTRACTOR: Name SCI Towers, LLC Name: Brad Schehr Address: PO Box 3469 Company: J. Crompton Electric, Inc. City: Cary State: NL Zip Code: 27519 Fax: 888-549-3889 Phone No. 772-631-6574 Address: 1290 Old Congress Ave. City: West Palm Beach State: FL Zip Code: 33409 Fax: 561-585-9088 Phone No 561-588-6559 E-Mail: lee@scitowers.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail permitting@jcromptonelectric.com State or County License CGC1504970 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: 3"wEnii d^^ Name: Address: 13051T?? mFar y,su,w,00 Address: City: Ta State: FL City: State: Zip: 33337 Phone B13a15"1422 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WU RLYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." qO� Signat re of Owner/ Lessee/Contractor as Agent for Owner ,,� SignofTontrac or/License older STATE OF FLOR DA STATE OF FLORIDA COUNTY OF 1` lr. 3Lctc� COUNTY OF F.— The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me this 30 of 20 �� by this 30 day of 3w—b 20_ by 1d1ay I\5&ptcw I ry kppe n Brad&hehr Name of person making statement. Name of person making statement. Personally Known OR Produced IdentificationfL47- Personally Known x OR Produced Identification Type of Identification Type of Identification Produced '3 9' Produced •,aJ,.,. CLAUDETTEMARIESABOL :�^y°''•• MICHAELSABOL "� Commission#FF 954895 r ommisslon#GG19B270 :o ExpiresFebruary25,2620 ," s May 14,2022 (Sig re otary Pub a roy am n3uranu800.38570 gnature of Notary ui)P;r�Yet@0i4fM11YrfrY� ^I^suren0e Cc ission No. (Seal) Commission No. _ (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19