HomeMy WebLinkAboutPermit ApplicationAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
• Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992 x Residential
�.,...,,. 17721,AAJ_1599 Fax: (7721462-1578 Commercial
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
_.
Address: 14105 Angle Road, Ft Pierce, FL 34945
Legal Description:
Property Tax ID #: 2306-111-0002-000-0
Lot No.
Site Plan Name: FP01
Block No.
Sector Add & Radio Swap
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
(1)Add 2 New Antennas
2) Add 2 Surge Suppressors (DC6)
3) Add 10 Diplexers
4) Add 4 New Radios
5) Swap 5 Existing Radios
CONSTRUCTION INFORMATION:
Additional wor to jeerorme un ert ispermit—c ec
a appy:
❑
❑HVAC L 1 Gas Tank ❑Gas Piping
Shutters
Windows/Doors
EElectric ❑ Plumbing ❑Sprinklers
❑ Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
SqFt. of First Floor:
[]Sewer ❑Septic
440'
Cost of Construction: $ 27,500 Utilities:
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAT&T Mobility - Lessee
Name: Stanley Maclin
Address:8601 West Sunrise Blvd
Company: Mastec Network Solutions
City: Plantation State: FL
Zip Code: 33322 Fax:
Phone No.561 212 1682
Address: 6100 Broken sound Pkwy Suite 6
City: Boca Raton State: FL
Zip Code: 33487 Fax: 561-988-5829
Phone No. 954 801 4949
E-Mail: Rorey.wanliss@mastec.com
E-Mail:dt2108@att.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: 0GO1515769
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
Name: USA Engineering
Address: 2818 Cypress Ridge Blvd
City: Wesley Chapel State: FL
Zip: 33544 Phone 813-993.0365
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Cleopatra Dunn
Address: 14105 Angie Rd
City: Fort Pierce. FL34945
Zip: Phone:
TION:
MORTGAGE COMPANY: ` Not Applicable
Name:
Address:
City: State:
Zip: Phone: T
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
vvrrvcn/ a.vni 1 runt s vn mrriuvi 1. Application is nereny 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 conAlct 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
Signature of Owner/ Less /Contractor as Agent for Owner
STATE OF FLORMA
COUNTY OF R+. LWAt
(lt
The forgoing instrument was acknowledged before me
this _r day of TUkq 2020 by
ollunnG arru
Name of per n making statement
Personally Known A OR Produced Identification
Type of IdenIftajlA
Produced t1
(Signature! of Notary Public- St �"^""'
//'�� f� 22 ��77 'w Notary Public
Commission NO\7&5225 %sezR t hp ells L
REVIEWS FRONT I ZONING
COUNTER REVIEW
Rev
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A �: r
Signature of Con actor/License Holder
STATE OF FLQ7IOA
COUNTY OF r D
The fo going instrument was acknowledged before me
this day of JWI C 20* by
t- 4415s1 ((AA&C,'r1
Name of person making statement f
Personally Known OR Produced Identification 1+
Type of Ide tificatio
Pro\jduced
SUPERVISOR I PLANS
REVIEW REVIEW
No.
N08LE
A 141207
VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW