HomeMy WebLinkAboutBuilding permit appAll 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 Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
POSED IMPROVEMENT LOCATION:
Address: 12200 Angle Rd, Fort Pierce, FL 34945
Property Tax iD #: 1332-211-0002-000-5 Lot No. 4
Site Plan Name: ANGLE ROAD Block No.
Project Name: ANGLE ROAD
DETAILED DESCRIPTION OF WORK:
remove (8) antennas, install (11) antennas, remove (1) cabinet
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 ` Windows/Doors Pond
— Electric _ Plumbing Sprinklers
_ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 15,000.00 Utilities: —Sewer —Septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name AMERICAN TOWER CORPORATION
Name: Pavel Redko
Address:10 PRESIDENTIAL WAY
Company: Advanced Communications Technology
City: WOBURN State: _
Address:15188 Park of Commerce Blvd, Suite 11
Zip Code: 01801 Fax:
City: Jupiter State: FL
Phone No. 916-385-4266
Zip Code: 33478 Fax:
E-Mail: mbaker@tepgroup.net
Phone No561-512-3761
Fill in fee simple Title Holder on next page (if different
E-Mail kristee9advancedcommtech.net
from the Owner listed above)
State or County License CGC1521987
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN
Not Applicable
Name: ANDREW REID IRWIN
AddreS5: 421 FAYETTEVILLE ST, SUITE 600
City: RALEIGH State: NC
Zip: 27601 Phone 916-aes-4266
FEE SIMPLE TITTLE HOLDER: Not Applicable
Name: Inddo Holdings LLC
Address: 1626 90Eh Ave
City: VERO BEACH
Zip: 32966 Phone:916•aes-4266
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
vvvlvery ww I KAl,r UK ArriUvi 1 : 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 attornev before commencinor wnrk nr rarnrAing wmr hln+;ec .,f r,, .,., ,,...
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Signature o Owner/ L see/Contractor as Agent for Owner
Sign actor/License Holder
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STATE OF FLORIDA
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(Signature of Notary Public- State of Florida }
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(Signat re of Notary Public- State o orida)
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.5/6120