HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC(t INFO U BE COMPLETED FOR APPLICATION TO BE ACCEPTED C IyII SCANNE % —
aaDate: 1 BY Permit Number:
St. Lucie County R^
.� �.
Building Permit Applica I'
Planning and Development Services NOV 2 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578 Commercial x..
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 4690 Emerson Avenue, Ft Pierce, FL 34951.
Legal Description:
Property Tax ID #: 1314-323-0061-000-6
Site Plan Name: C INDRIO - -
ProjectNanle: 2nd Carrier overlay
Setbacks Front Back:.. Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
(1)Removing 3 antennas & mounts (2)lnstalling 3 new antennas & 3 new radios (3)Relocating 6
existing antennas, 3 radios & 1 surge suppressor.
CONSTRUCTION INFORMATION:
II
-
t+.aamonaiworxlooe erlormeo unaercrospermic- cnecKan apply: - - - -
IJHVAC Gas Tank E]GasPiping _Shutters ❑Windows/Doors
ZElectri.c 0 Plumbing ❑Sprinklers EIGenerator - 1:1 Roof Roof pitch
Total So. Ft of Construction: S Ft. of -First Floor:
El
Cost of Construction: $ 27,500 Utilities. sewer _Septic. Building Height: 114'
OWNER/LESSEE: ATAFT7,
CONTRACTOR:
Name Russakis Investments LLC: .'
Name: Stanley Maclin•
Address- 8601 Inddo Rd
Company:. Mastec Network Solution's
City: Ft Pierce - - _ _ .. State: FL
Zip Code: 34951 Fax:
Phone No. -
E-Mail:
Address: 610.0 Broken sound Pkwy Suite.6
City: Boca Raton State: FL "
Zip Code:, 33487 Fax: 561-988-5829
Phone No. 561-962-9838
Fill in fee simple Title Holder on next page (if different
from, the Owner listed, above)
E-Mail: bocaratonpermitting@mastec.com
State'or County License:- CGC1515769
If value of constructiogis 2500 or more; a RECORDED Notice of Commencement is required,
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I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: APX Engineering Name:
Address: 3400 Lakeside Dr #525 Address:
City: Miramar State: R City: State:
Zip: 33027 Phone Zip: Phone:
SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not
Address: Address:
City: City:
Zip: 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may i;estrict 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 afull 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
commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
i nature of Contr or/License Holder
STATE OF FLORIDA
COUNTY OF aly„_iejLcA-)
STATE OF FL IDA
COUNTY OFIGQmBPRcV�
The forgoing instrument was acknowledged before me
this d?J day of Now (OJ)e� 20_n by
The forgoing instrument was acknowledged before me
this o2U day of Nate v rk.� 2011 by
Vis�IW4
A'Url t,+ ( A uidlh
Name of perso making statement
Narhe of person making statement /
Personally Known OR Produced Identification
Personally Known OR Produced Identification V
Type of Identificatio — ... — ----
Produced .»re"}®NIOf1E NICOLI NOBLE
Type of Ide tificatioq
Produce n✓�/ l/C
!M.o MONIQUE NICOLI NOBLE
Y#° Qa
gpiif?MMI68K7 ary 5. 0�18
€#f�lfi�f� ,ltanuery 5, 2078
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EX COMMISSION #FF080936
�,�a �o"f� EXPIRES January 5, 2078
a imtiq Nt11i1 ppwica.mm
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nano-0i®a fWnWNauvyBervk MM
(Si nature of Notary ufiio--state of Florida)
(Sigfiature of Notary Public- State of Florida )
Commission No.Ff-C'2 (Jc Np (Seal)
Commission No. F FccTdfiiin (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
L
DATE
COMPLETED
Rev. 8/2/17