HomeMy WebLinkAboutBUILDING PERMTI APPLICATIONAl I A001 IrAml E IRIF0 R11"Cr DC r^RADI �CM 0�0 Anni I�AVI^kl V
Date: SCANNED -7
Permit Number: 0 —O*M
BY
r
IlLaUMIA St. Lucie County R I=— L U' IYE D
Building Permit Application JUL 2 0 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR:
Address: 1480 Dyer Road
Legal Description:
PropertyTaxlD#: 341450107160000
Lot No.
Site Plan Name: Riverpark Block No.
Project Name: Riverpark
Setbacks Front Back: _ Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I - III
Replqce gntennas and related equipment. P&)bvl'�5 6( el-IWAI ft\-e�X� 014A 3
AdAW3 A A&'- mVel",-s cvkA 6 faAos ad SAu, 1�ov,,6p,
CONSTRUCTION INFORMATION:
Additionalwor](10rifIrformed
[JHVAC
under
— Gas Tank
this permit —check
DGas Piping
all
apply:
M Shutters
F—]Windows/'Doors
ZElectric
El Plumbing
OSprinklers
ElGenerator
0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 27,500
Utilities*
S
'CnSew
Ft of First Floor:
— er 0 Septic
Building Height: 200 ft
OWNER/LESSEE:
CONTRACTOR:
Name American Tower Systems Inc.
Name: Stanley Maclin
Address: PO Box 723597
Company: Mastec; Network Solutions
City: Atlanta State: GA
Zip Cocle:_31 139— - - Fax:
Phone No. / 54
Address: 6100 Broken Sound Pkwy Suite 6
City: Boca Raton State: FL
Zip Code: 33487 Fax:
Phone No. 561.962.9838
E-Mail: 2):!�J
1 /9V
Fill in fee simple'Fitle Holder ct page I if different
from the Owner listed above)
E-Mail: rorey.wanlissbmastec.com
State or County License: State C�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 4
DESIGN ER/EING IN EER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: —
Phone:
— Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
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 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
commencine work or recordine vour Notice of Commencement-
A!�gbk=at: �� mtrl�� S
SignatuMof Owner/Lessee/Contractor as Agent for Owner Signature of Contoctor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Y6klrn-i�eoL0 I -A I
,h COUNTY OF_?c
The ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisfyoodayof TLkAti � 20 L-1by I thisc2�L day of 20 _Q_ by
-1 Stanley Madin
(Name of person acknowledging I (Name of person acknowledging
of Notary Public- State of FloriFa—)
Personally Known _,'� OR Produced Identification
Type of Identification Produced
Commission No.
M
Revised
of Notary Public- State
Personally Known OR Pr9juced Identification
Type of Identification Produced (_VttlteliCe��
MONWIPICOLI NOBLE I I 'Commission No.
MY COMMISSION #FF0809361 I
MONI(SM)NICOLI NOBLE
MY COMMISSION #FF080936
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ZONING
SUPERVISOR
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PEGETATION
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MANGROVE
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