HomeMy WebLinkAboutRevised applicationPP01-3C
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
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
x Residential
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 14101 Angle Road, Ft Pierce, FL 34945
Legal Description:
Property Tax ID #: 2306-111-0002-000-0
Lot No.
Site Plan Name: FP01
Block No.
Project Name: Sector Add & Radio Swap
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:
Adaitional work to e e orme un ert ispermrt—cI I ec
a appy:
❑
❑HVAC Gas Tank ❑Gas Piping
_ Shutters Windows/Doors
Electric Plumbing ❑Sprinklers
❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
oSewer❑Septic
Cost of Construction: $ 27,500 Utilities:
Building Height:440'
OWNER/LESSEE:
CONTRACTOR:
Name AT&T Mobility - Lessee
Name: Stanley Madin
Address:8601 West Sunrise Blvd
Company: Mastec Network Solutions
City: Plantation State: FL
Address: 6100 Broken sound Pkwy Suite 6
City: Boca Raton State: FL
Zip Code: 33322 Fax:
Phone No.561 212 1682
Zip Code: 33487 Fax: 561-988-5829
E-Mail:dt2108@att.com
Phone No. 954 801 4949
Fill in fee simple Title Holder on next page ( if different
E-Mail: Rorey.wanliss@mastec.com
State or County License: CGC1515769
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: USAEngineering
Address: 28IS Cypress Ridgc Blvd
City: Wesley Chapel State: FL
Zip: 33544 Phone 81391MA365
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:cieopatra norm
Address: 14106 Mob Rd
City: Fort Pierce. FL34946
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: ___Not Applicable
Name:
Address:___
City:
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 Countmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conxict with any dpplicable 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 e ./Contractor as Agent for Owner
STATE OF FLOR A
COUNTY OF Nt. I -Wit
The forgoing instrumen was acknowledged before me
this r day of , IT_2020 by
Name of per on making statement
Iv Known X OR Produced Identification
Type
(Signature'of Notary Public- St p6x4M4t8Sy"`r` '-
7 *r ro4, Notary Public State of FIC
Commission No. 3225 / TrSJ3aphaelie L De Paula
i ` rc ommbuon 00 322!
%i "? EXoNSM1112023
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Rev.
Signature of Con actor/License Holder
STATE OF FLORIDA
COUNTY OF % x, a C�
The forrgoing instrument was acknowledged before me
this( dayof JiatiL 2Q 1 by
kylttn(a/ (*i (Jtyt
Name of person making statement
Personally Known OR Produced Identification
type of Ida _4tificatign-
Produced_ .fC /iJC�11, f
SUPERVISOR j PLANS
REVIEW I REVIEW
f Notary 11 R I —99' 11
fl�ky.w.wh,, MONIQUE NICOU NOBLE
No. f.: MYCOMMpt`:lggtI#GO 1412"
EXPIRES JenwryGt 2022
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VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW