HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO [MUST BE CbMtrLETED FOR APPLICATION TO BE ACCEPv�.;
Date: 1 �_3 •1 2 Permit Number: I
SCANNED
BY RECEIVED
St. Lucie County
Building Permit Applicati n OCT 0 3 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Yes Residential
PERMIT TYPE: Building Permit -New Construction
Address:
iED IMPROVEMENT LOCATION:
Northside of Orange Avenue in Ft. Pierce, FL - 15.4 miles west of
Property Tax ID #: 2108-111-0002-000-2
Site Plan Name:
Project Name:
le Ranch Tower
5� Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: 'I
Construct a 250 foot telecommunications tower with associated radio and antenna equipment.
ICONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping —Shutters -Windows/Doors
_ Electric _ Plumbing - _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 155X62D-°a
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SCI Towers, LLC (Lessee)
Name -
Address: PO BOX 3469
Company. Cr
1►1G
city: Cary North Carolina State: _
Zip Code: 27519 _ Fax: 888-549-3889
Phone No. 772-631-6574
Addre 00 AtiF
City: Stater
Zip Code: 3LItl5 Fax:
Phone No
E-Mail: lee@SCitowers.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail r C, 0 .1 ✓In 14
State or county Liit se
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.
SUPPLEMENTAL CONSTROUTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Waypoint Engineering and Equipment, LLC Name:
Address: ego W. Indiantown Road Address:
City: Jupiter State: I City: State:
Zip: 334e8 Phone 561-252-1220 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: xx Not Applicable
Name: Wynne Captial, LLC Name:
Address: MW US Highway 1 Address:
City: Port St Lucia City:
Zip: 34952 Phone: 772-87e-5513 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 COMMENNCEN LENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
PQSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sig a ure o wner ent for Owner
SSignature o`f Contracto>/U ense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF k--& Nc , ,—.
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrume t was acknowledged before me
this y�u day of I�.sk— 20\I�i_by
this day ofr 20 by
Name of person making statement.
Name of person making ent.
Personally Known 1/OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of I ientification
Produceedd��,,,
Produce
(Signature of Notary Public -State of Florida)
ilt= a Of0briddlfF964895
Commission No .f (Seal)
Expires February 25,2p20
Commission BondedThmTa� sJrante 809385IB19
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