HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDQ
Date: Permit Number: lV O5 1
24o [LUC�C`s
�1 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial ANTENNAS Residential
2300 Virginia Avenue, .Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ANTENNAS
PROQDSEQ', [MPROVElMENT 'LOCATIPfN
Address: 3100 N A1A (SANDS ON THE OCEAN)
Property Tax ID M. 1425-606-0000-000/0 (ROOF) Lot No.
Site Plan Name: SANDS ON THE OCEAN CONDO Block No.
Project Name: AT&T - JAISLAND
It
,EOESCRIP'TION OF' WORK::
Remove 3 antennas. Remove 3 DC2, Remove 6 RRU. Install 3 new antenna, Install 3 new DC9. Install 12 new R
New Electrical Meter Second Electrical Meter
.COhySTRIIECTION (�NF:ORM/ATtON: . .. .
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: $ 12,500 Utilities: —Sewer —Septic
Building Height:
OWNER/lESUE.
CONTRACTOR:
NameAT&T MOBILITY
Name:STANLEY MACLIN
Address:8601 WEST SUNRISE BLVD
Company: MASTEC NETWORK SOLUTIONS
Address:563 N CLEARY RD, SUITE 4
City: PLANTATION State: —
Zip Code: 33322 Fax:
Phone No.954 242 8386
City: WEST PALM BEACH State: FL
Zip Code: 33413 Fax:
E-Mail:DL6863@ATT.COM
Phone No954 8014949
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ROREY.WANLISS@MASTEC.COM
State or County LicenseCGC1515769
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.
ltp#�L< VITAL Ct]�lSTRUCT� ! C � L4lN iN � 4v +T
..
DESIGNER/ENGiNEER: _ Not Applicable
MORTGAGE COMPANY. Not Applicable
Name:APx ENGINEERING
Name:
Address:3400 LAKESIDE DRIVE
Address:
City: MIRAMAR State: FL
City; State:
Zip; 33027 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name! SANDS ON THE OCEAN SECTION 1 CONDO
Name:
Address:
AddreSS:3100 N A1A
City FORT PIERCE
City:
Zip:34946 Phone:
Zip: Phone'
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 Retard 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 commencing work or recordine vour Notice of Commencement.
D
Signature of Con actor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLO DA
COUNTY C Ili Cd
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presenc5e or Online Notarization
� day TJ111y 2020 by
j P sical Presence or Online Notarization
' 'NUILA
this of
this day of 2020 by
DEa®IE'LEWIS
STANLRY MACI.IN
Name of person making statement.
Name of person making statement.
Personally Known _ OR Produced Identification
PersonallV Known )� OR Produced Identification
Type of IdentificPAI
Produced 1
Type of IdenKifcil n
Produced l�; !
Ijaw,
/Lsg
(Signature of Notary Public St a ary Pubho State or FI
phaella L DB Paula
(''�( ^�Comtnisaion GG 322
tdtsig ture Notary Public- Star; O a )Notary Public State of Fit
Raphaella L De Paula
0Commission
No.�-"132.ZJ
COm ISSIOn N0. ✓L }S omrtns 112023 22I
' tres Od/1112023 I
or y�odt
i
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS I
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
'REVIEW
REVIEW
DATE
RECEIVEDDATE
COMPLETED
Rev. Rev. 5/6/20