HomeMy WebLinkAboutATC FL_ Strazulla_5120_BUILDING PERMIT APP - ground work All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/01/21 Permit Number:
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�= Building Permit Application
Planning and Development Services V
Building and Code Regulation Division Commercial 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
Property Tax ID#: 1201-111-002-000-5 Lot No.
Site Plan Name: STRAZULLA Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:Ground Work
REMOVE 1 6101 CABINET 1 60 KW LP GENERATOR AND 1 500 GALLON LP TANK
INSTALL (1)_19 INCH RACK, (1) -48 POWER PLANT, (1) 50 KW LP
__ GENERATOR AND (1) 500 GALLON LP TANK `*ALL ANTENNA EQUIPMENT
. _ mill L RE STEALTH/NEUTRAL COLORS`"
New Electrical Meter Second Electrical Meter (Affidavit required)
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: $ Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
!Name American Tower Corporation Name: Pavel Radko
Address: 10 Presidential Way _ Company: Technology
City: Woburn State:MA Address: 15188 Park of Commerce Blvd, Suite 11
Zip Code: 01801 Fax: City. Jupiter State: FL
Phone No. 404-618-4501 E- Zip Code:_ 33478 Fax:
Mail: r r Phone No
Fill in fee simple Title Holder on next page(if different E-Mail kr' tgeCcbad'yance comMtech.net
from the Owner listed above) State or County License
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:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: X Not Applicable
Name: Indrio Land Holdings LLC Name:
Address: 7900 Glades RD Ste 402 Address:
City: Boca Raton City:
Zip: 33434 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 ranting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners%ssociation rules,bylaws or and covenants that may restrict or prohibit such
structure.Please 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 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 a ttorne before commencingwork or rscordin our Notice of Commencement.
Signature o ner/Lessee/Contractor as Agent for Owner
STATE OF FLORT r
COUNTYOF c�Cl
Sworn t (or affirmed)and subscribed before me of Physical Presence or_Online Notarization
this day of NAeAdev 20?4 by
�c.c.e 9 �fLac,Q�.tr�
Name of person making statement.
Personally Known OR Produced Ideptification V
Type of Identification Produced �t.�,A
1
(Signature o Notary Public- a e o Florida)
Commission No. 0l(3Seal) RH
State ofFlonda
onon HH 059433
024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21