HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Gm�� .
v L 0 `z' ° `" z" � � 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) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 6080 PETERSON RD
Property Tax ID #: 2312-412-0000-000-9
Lot No.
Site Plan Name: Block No.
Project Name: AT&T FP50 (PETERSON)
DETAILED DESCRIPTION OF WORK:
Swap 9 antennas. Swap 9 RRU. Swap 2 DC6. Add 1 new DC9. Add 3 new RRU, Add 1 new DC 7/8" cable, add 1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $18,500
_ Gas Piping
Sprinklers
Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AT&T Mobility
Name:STANLEY MACLIN
Address:8601 West Sunrise Blvd
Company: MASTEC NETWORK SOLUTIONS
City: Plantation State: _
Zip Code: 33322 Fax:
Phone No.561 2121682
Address:563 N CLEARY RD, SUITE 4
City: WEST PALM BEACH State: FL
Zip Code: 33413 Fax:
Phone No954 801 4949
E-Mail:dt2108@att.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ROREY.WANLISS@MASTEC.COM
State or County License CGC1515769
If value of construction is 2500 or more, a RECORDED Notice of commencement is regwrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: MASTEC_ NETWORK SOLUTIONS _ ___ _,-__ Name;
Address:507 Airport Blvd, Suite 111, Address:
City: Morrisville State: Nc City:
Zip: 27560 Phone919674 5895 Zip: Phone: State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Na me: nothing R Properties LLC
Address:13o5L oheeettobee RD
City: FT. PIERCE
Zip:3agas Phone:
BONDING COMPANY: _Not Applicable
Address:
City:_
Zip: _
WWRICMr a Ulm r MAL f WI% Arriuvl i s Application Is hereby made to obtain a permit to clothe 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 can, with any applicable Home Owners Association rules, bylaws geed
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 attornev before commencing work or recording vnur NotirP of rnmmanr•amon+
Signature of Owner/ Less /Contractor as Agent for Owner
Signature of Contract r/license Holder
STATE OF FLORIDt fft
L� U ('/
STATE OF FLO 1 A
COUNTY OF .
COUNTY OF S�t, LI c y.
Silygrn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
_A_ yslcal Presence or _____ Online Notarization
thiis�day of - � 2020 by
hysical Presence or Online Notarization
this h day of % j , 2020 by
Name of person making st ement.
Name of pers6n making statement.
Personally Known X OR Produced Identification _
Personally Known OR Produced Identification
Type of Identification
_X_
Type of Identification
Produced t\I /A
Produced N /•
�
AP
(Signature of Notary Public- at ntrFiocidar�otary Public Slate of Flo
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322
io$Sig Lure of Notary Public- State of F ridr.j� Notary Public Sm
�L �!�E Raphaella L
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Commission No. isMlgCommissionGG3225OCom
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My Commission�aewd�`se
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