HomeMy WebLinkAboutBuilding Permit App - ATC 2723 AT&T 10070115 ATC 2723 AT&T10070115 Upgrade
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 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: 27000 Okeechobee Road, Fort Pierce, FL 34945
Property Tax ID#: 3111-122-0015-000-3 Lot No.
Site Plan Name: Rim Ditch AT&T 10070115 Block No.
Project Name: ATC 2723 AT&T 10070115 Project#13324309
DETAILED DESCRIPTION OF WORK:
ATC 2723 AT&T 10070115 Upgrade to existing tower includes modifing ground based and tower mounted equipment.Tower Work:REMOVE(6)
Antennas(6)RRH's,and(2)1-5 8"Coax Cables,INSTALL(6)Antennas,(6)RRRH's,(2)DC6 Squids,(4)DC Trunks,and(2)Fiber Trunks. EXISTING(3)
Antennas,(3)RRH's,(6)TMA's,(2)DC9 Squids,and(16)1-5/8"Coax Cables to remain.See plans for details.
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: $ 15,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name American Tower Corporation Name: Stanley Maclin
Address: 10 Presidential Way Company: Mastec Network Solutions
City: Woburn State: MA_ Address: 3500 Pelham Pkw y.
Zip Code: 01801 Fax: City: Pelham State: AL
Phone No. E- Zip Code: 35124 Fax:
Mail: Phone No 678-477-3773
Fill in fee simple Title Holder on next page (if different E-Mail mshaw@craftongroup.com
from the Owner listed above) State or County License CGC1515769
Llue of construction is 2500 or more,a RECORDED Notice of Commencement is required.
e 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: Not Applicable
Name: Name:
Address: Address:
City: State: City: _State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: 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 granting a permit will authorize the permit holder to build the subject structure
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 our Notice of Commencement.
�4 InAd—
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Port St. Lucie
Sworn to(or affirmed)and subscribed before me of Physical Presence or x Online Notarization
this-3 day of January 20 21 by Stanley Maclin
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification Produced
Yanet Rodriguez
(Signature of Notary Public-State of Florida)
E
YANET RODRIGUEZ
Commission No. GG325980 (Seal) Notary Public-State of Florida
Commission#GG325980
y Comm.Expires Apr 21,2023
ded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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