HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) /
Date` SCANNED Permit Number:
BY
-- St. Lucie Countt/ ' A
Building Permit Application ��� 1
Planning and Development Services 2 20�cy
Building and Code Regulation Division St, eRJdl J7 V
2300 Virginia Avenue, Fort Pierce FL 34982 /,
le Colin
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential FC
PERMIT APPLICATION FOR: Addition q� Ill
PROPOSED IMPROVEMENT LOCATION:
Address: 6080 Peterson Rd
Legal Description: 12 35 39 W 1/2 OF NE 1/4 OF SE 1/4 AND W V2 OF SE 1/4 OF SE 1/4-LESS ORANGE AV RNVAND LESS CANAL RNV
AND LESS 1-95 R/W AS IN OR 246-2379 AND LESS AS IN ORD TAKING CA #82-98-05- (39.67 AC) (OR 2918-852)
Property Tax ID #: 2312-412-0000-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Peterson / FP50
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK:
Upgrade LTE equipment on an existing cell tower
CONSTRUCTION INFORMATION:
HOaluundl WUM l.o ue enurmeu unuer Lms
1]HVAC Gas Tank E]GasPiping
permit— CneCK all
apply:
❑Windows/Doors
WElectric
El
Plumbing
Sprinklers
nn_Shutters
1:1 Generator
0 Roof
=
Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 30,000.00 UtilitiestSewer Septic Building Height:
,OWNER/LESSEE:
CONTRACTOR:
Name New Cingular Wireless PCs
Name: Stanley Marlin
Address:3210 Lake Emma Rd.
Company: MasTec Network Solutions, LLC
City: Lake Mary State: FL
Zip Code: 32746 Fax:
-Phone No.-352-262-9222- -
Address: 1976 Joe B. Jackson Parkway
City: Murfreesboro State: TN
Zip Code: 37127 - Fax: -- —
Phone No.
E-Mail: tr n/71
E-Mail: courtney.ruhff@smartlinldlc.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County C=1515769
if value of construction is 525110 or more, a RECORDED Notice of Commencement is required.
701528d3 lL,16WO Peterson/ FPW
LIEN -LAW IN
Name: infinigy
Address: 2255 Se a MID Rd.
City: e(iarietia State: cn
Zip: aooa�— Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Nallrne• Rocking R Properties LLC
Address: 3658 Eleven Mile Rd
City- FM Pierce
Zip: a412 Phone:
TION:
MORTGAGE COMPANY: LJ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: uNot Applicable
Name:
Address:
Zip: Phone:
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
structure. Pleafslecconisult withpyoucr Home Owners Association andrreview your deed focovenants
any re hi Lions which ay applyhibit such
1n 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 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 financing, consult with lender or an attorney before
2447 s
Signature of Cont or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Si ukho, V— COUNTY OFSeVY�1V�011e,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'&.day of lAa 20Mby this lst dayof MGi� 20 Eby
1' \ 1)4—> S N estnYAte�( MLA-CA l n
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public -State of Flori a )
personally Known K OR Produced Identification
Type of identification Produced
Commission No.
=hl i
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
No. =wCOURTNEY111.13F� ��,,II''
gusslon v GOOCd�59
ro Fznires FW mery 8.2021
Revised 07/15/2014
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