HomeMy WebLinkAboutREVISED Building Permit Application GH,ATC 2723,13324309 FTC 2723 AT&T10070115 Upgrade
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: Permit Number: 0i o ( b 1
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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: 28000 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,an 2 1-5 8 Coax Cables,INSTALL 6 Antennas, 6 RRRH s, 2 DC6 Squids, 4 DC Trunks,an 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:
Tower
OWNER/LESSEE: CONTRACTOR:
Name American Towers LLC Name: Stanley Maclin
Address: 10 Presidential Way Company: Mastec Network Solutions
Sta
te:ate:
Woburn Address:
MA 3500 Pelham Pkwy.
_
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
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.
i
GH, ATC 2723,13324309
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: ADAMS RANCH INC Name:
Address: Po Box 12909, Address:
City: Fort Pierce, FL City:
Zip: 34979-2909 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 a d posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with lender QplaryattorneV before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF RGIVIDA Massachusetts
COUNTY OF Middlesex
Sworn to(or affirmed)and subscribed before me of X Physical Presence or Online Notarization
this day of"p.ZC 2111/141" ,20ZQdly
C�1'ar�ax-e (Zvb1v1Sot,, Sa rl o r ( Q uhsi
Name of person making statement.
Personally Known X OR Produced Identification Y � SSA ANN ME7ZLER
Ty f Identification roduced M LI
/p Notary Public
�,�, •�,, ; �o,�,�,,.,;,;xn,alth of Massachusetts
h 14.2025
(Signature of Notary Public-State of FAMida) Massachusetts
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21