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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
STIT.
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial ANTENNAS Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR:ANTENNAS
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 N A1A (SANDS ON THE OCEAN)
Property Tax ID q: 1425-606-0000-000/0 (ROOF) Lot No.
Site Plan Name: SANDS ON THE OCEAN CONDO Block No.
Project Name: AT&T - JAISLAND
DETAILED DESCRIPTION OF WORK:
Remove 3 antennas. Remove 3 DC2, Remove 6 RRU. Install 3 new antenna, Install 3 new DC9. Install 12 new R
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 12,500
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAT&T MOBILITY
Name:STANLEY MACLIN
Address:8601 WEST SUNRISE BLVD
Company: MASTEC NETWORK SOLUTIONS
City: PLANTATION State: _
Zip Code: 33322 Fax:
Phone No.954 242 8386
Address:563 N CLEARY RD, SUITE 4
City: WEST PALM BEACH State: FL
Zip Code: 33413 Fax:
Phone No954 801 4949
E-Mail:DL6863@ATT.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailROREY.WANLISS@MASTEC.COM
State or County LicenseCGC1515769
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER:- _Not Applicable --f
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MORTGAGE COMPANY:
Not Applicable.
Name:APX ENGINEERING
Name:
Address:340u LAKESIDE DRIVE
Address:
City: MIRAMAR State: FL
City: State:
Zip: 33027 Phone
_
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Applicable
_Not
Name: SANDS ON THE OCEAN SECTION 1 CONDO Name:
Address: 3100 N AIA Address:
PORT PIERCE City:
LJity:
p: 3asae 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencin work or recording your Notice of Commencement.
Die
Signature of C> on actor/Licen�Holder
Signature of Owner Lessee Contractor as Agent f r
g / / Ag or Owner
STATE OF FLO DA
STATE OF FLORIDA
COUNTY OFF}, t�((Z
COUNTY OF %_ 'VGE'
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Ph sical Presen a or Online Notarization
5
this �dayof TUTU by
� P sicai Presence or Online Notarization
_
this'dayof I( by
.2020
,2020
i
DEBBIE LEWIS
STANI EY MACLIN
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced identification
Personally Known X OR Produced Identification
Type of Identfii t*
Produced
Type of Iden Iff c n
Produced ��
�f Qa
(Signature of Notary Public- St 'W�PI a Notary Pabtic amle of PI
Raphaelia L De Paula
C != :L .f�yy commission GG 322
Iepslg tore Notary Public- Sta o a )Notary Public State of Flgr,
Raphaella L De Paulal
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Commission Commission No IE ea4ires 01H112023
Ww ea4ires ant/2023
Com ission No.J ,j�ty� ommrssion GG 32252
'�o,a� �Aywea 0d/17Yl023
Com ission No.��5
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED I
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DATE
COMPLETED _
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