HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 9-21-21STRAZULLA - ATC 5120
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/21/2021 Permit Number:
. �..
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial V Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 13698 Indrio Road, Fort Pierce, FL 34945
PropertyTax ID #: 1201-111-0002-000-5 Lot No.
Site Plan Name: STRAZULLA Block No.
Project Name: ATC FL - STRAZULLA
DETAILED DESCRIPTION OF WORK:
WIRELESS ANTENNA UPGRADE & GENERATOR SWAP AT EXISTING CELL TOWER SITE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Pond
V Electric _ Plumbing _ Sprinklers V Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 20,000 Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AMERICAN TOWER CORPORATION
Name: Pavel Redko
Address: 10 PRESIDENTIAL WAY
Company: COMMUNICATIONS TECHNOLOGY INC
City: WOBURN State: MA
Zip Code: 01801 Fax:
Phone No. 815-409-5242 E-
_ADVANCED
Address: 15188 Park of Commerce Blvd, Suite 11
City: Jupiter State: FL
Zip Code: 33478 _ Fax:
Phone No 561-771-6677
Mall: apaul@tepgroup.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail kristee@advancedcommtech.net / apaul@tepgroup.net
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.
SUPPLE �NTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNED/
Name:
Address:
City:
Zip:
NGINEER: _ Not Applicable
MORTGAGE COMPANY: V Not Applicable
Name:
Address:
State:
Phone
City: State:
Zip: Phone:
FEE SIMPLE
Name: Ind6o Land
Address: 79CO
City: Boca Ra
Zip: 33434
TITLE HOLDER: _ Not Applicable
Holdings LLC
BONDING COMPANY: Not Applicable
Name:
Glades RD Ste 402
Address:
on
City:
Phone: 815-409-5242
Zip: Phone:
OWNER/ C( TRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that nb ork 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 conflicts ith any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Pleas consult with your Homeowners 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 W th 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 strutt res, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING T OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improve ents 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 lenclE r or an attorney before commencing work or recording vour Notice of Commencement.
Paz
ner/ L sse /Contractor as Agent for Owner
Signature of
STATE OF FL
RIDA
COUNTY OF.
Broward
Sworn to (or of
firmed) and subscribed before me of X
Physical Presence or Online Notarization
this 21st day ol
September 2021 by
Name of parsor
making statement.
X
"1
Personally KnQ
n OR Produced Identification
o`
Type of I ntifi
ation Produced
,
�`` 'N �T9zd
(Signature of N
tary Public- State of Florida)
GG342g60
��
Commission Nlo.
GG342460 (Seal)
Seal
4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5120/21