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Home My WebLink AboutBuilding Permit Application Signed notarizedAll 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 __________ 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: __________________________________________________________________________________________ Property Tax ID #: _________________________________________________________________ Lot No.__________ Site Plan Name: __________________________________________________________________ Block No. _______ Project Name: ______________________________________________________________________________________ DETAILED DESCRIPTION OF WORK: _________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 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: __________ OWNER/LESSEE: CONTRACTOR: Name__________________________________________ Address: ________________________________________ City: _________________________________ State: ___ Zip Code: ______________ Fax: ____________________ Phone No.______________________________________ E- Mail:________________________________________ Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: ________________________________________ Company: _____________________________________ City: ______________________________ State: ____ Zip Code: ___________ Fax: __________________ Phone No______________________________________ E-Mail_________________________________________ 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. 12/01/2021 x Cell Tower - Tower SOW 5041 St. Lucie Blvd. Fort Pierce, FL 34996 1431-211-0001-000-2 5800245 |579723 | 678972 AT&T LTE 3C - 10126637 AT&T proposed to remove (9) antennas, (6) TMAs, existing diplexers, RRUS 11s, RRUS 12s, TMSs, (1) fiber cable, (2) coax. AT&T proposes to install (9) antennas, (12) RRUs, (2) DC6, (3) fiber cables, (4) DC power cables. Modification of existing equipment on an existing unmanned telecommunication facility. n/a n/a 20,000 n/a n/a Crown Castle, USA 4511 North Avenue, STE 210 Tampa FL 33614 813-519-9320 bcampbell@trunorthe.com MASTEC Kevin Stanley Maclin Address: ___________________ FL CGC1515769 567-962-9835 806 Douglas Road 33134 Coral Gables SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ___ Not Applicable Name: _____________________________________ Address: __________________________________ City: __________________________ State: _____ Zip: ___________ Phone______________________ MORTGAGE COMPANY: ___ Not Applicable Name: ____________________________________ Address: ___________________________________ City: ____________________________State: _____ Zip: __________ Phone: ______________________ FEE SIMPLE TITLE HOLDER: ___ Not Applicable Name: _____________________________________ Address: ___________________________________ City: _______________________________________ 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structur e which conflicts with any applicable Homeowners Association 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 an attorney before commencing work or recording your Notice of Commencement. ___________________________________________ Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF_________________________________ Sworn to (or affirmed) and subscribed before me of ____ Physical Presence or _____ Online Notarization this ____ day of _________________, 20___ by Name of person making statement. Personally Known _______ OR Produced Identification ______ Type of Identification Produced__________________________ (Signature of Notary Public- State of Florida) Commission No. ______________ (Seal) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21 Charles Fox, David Hoines, Bonnie Hoines 3081 Commercial BLVD 200 Fort Lauderdale 33308 Broward x 16 December 21 x Stanley Kevin Maclin GG325980