HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFP24
. ALL APPLICAB�� E INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: . R
BY
< ,?--- St. Lucie County JUN 2 9 2096
-- Public Works
Building Permit Application
_ - St. Lucie County, FL
Planning and Development Services
Building and Code Regulation Division
2300Yirginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax, (772) 462-1578 Commercial x Residential .
PERMIT APPLICATION FOR: To Select from dPopbox, click arrow aYthe end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 28000 Okeechobee Road Ft.Pierce, FL 34945
Legal Description:
Property TaxID#:3110-111-0001-000-5 - Lot No.
Site.Plan Name: FP24 Block No.:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace antennas and related equipment at existing wireless site
CONSTRUCTION INFORMATION: III
L—jHVAC .. - LJ Gas Tank
Electric., 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 27,500
Gas Piping U Shutters ❑ Windows/Doors
[]Sprinklers 11Generator Roof
S Ft. of First.Floor: . .
Utilities:Sewer❑Septic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name AT&T Mobility
Name: Stanley,Maclin .
Address: 2001 NW 64th Street, Suite 100 -
Company: MasTec Network Solutions
City: .Boca Raton State: FL
Zip Code: 33309 Fax:
Phone No. ��� a 9
Address: 6100 Broken Sound Parkway, Suite 6 '
City: Boca Raton State: FL
Zip Code: 33467 Fax:
Phone No. 561.962.9638 .
E-Mail: r CE 1%J�
o
Fill in fee simple Title Holder on next page (if different.
from the Owner listed :above)
E-Mail• bocaratonpermitting@mestec.com
State or County License: CGC1515769
If value of construction is$2500 or more, a RECORDED Notice of Commencement is required. -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City:, State:
Zip: Phone:.
FEE SIMPLE TITLE HOLDER: Not Applicable
. Name: Adams.Ranch Inc " -
BONDING COMPANY: _Not Applicable
Name:
Address:
PO Box 12909
_
.Address: -
City: Ft Pierce
City:
Zip: 34979 Phone:
Zip: Phone:
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 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 FloridaBuildingCodes and St. Lucie County Amendments. ..:
Thefollowing building permit applications are exemptfrom 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 failureto Record a:Notice, of Commencement may result, in.your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to- obtain IMancing, consult with lenderor an attorney before
commencine work or recordine vour Notice of Commencement.
STATE OF FLORIDA
COLINTY.OF
The forgoing instrument -was acknowledged before:me.
.this _ day of 20. _by
STATE OF FLORIDA
.COUNTY OF. 4 al Yk . 3 eC'CV)
The forgoing instrument was acknowledged before me
this day of Juvr c - 20. lo by
ST(Ar112A.1 (P 6 d in .
(Name of pe on acknowledging)
(Sigriature,of Notary Public -State of Florida )
Personally Known OR Produced IdentificationPersonally -Known - OR Produced Identification _jy
Type of Identification Produced - Type of Identification Produced GI/0 Y' -� ICGYtf'�_
LYMARIE PER e
Commission a��. �a� °CommissiodNo •'' ' MONIO Ea ICOLI NOBLE
I I,'! -MY COMMISSION#FF00715f
January 5. 201 a
Revised
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