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Home My WebLink AboutBUILDING PERMIT APPLICATION81�3812 -- AT&T LTF 3C WFTPIERCE IrP30) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/ Date: IJ. - 12 • 1-7 SCANNED Permit Number: I �% I oZ - C)3 0 BY St. Lucie County R E a rL: Building Permit Application DEC 2 209i 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 Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III Legal Description: Property Tax ID #: 2311-320-0000-000-4 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: upgrade equipment a eAstinq cell site (/iJ I`rGN >�e.>� c?Ae��m r/�r.,r5'/yfLnr� S�Rr�.y.s�-�'� rf6rs7 3YjF✓r✓}G� �CON0RUYCnT(©0 IPxORIVIg1fION,.2 � r'i '� `°S �• � « ' �k ,. • .r ,. r .,r ' ci Iona wor i0 e e orme under" is permit—C eC a app y:y ❑HVAC ri Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors []ElectricPlumbing []Sprinklers II��_II []Generator❑Roof ❑ Roof pitch Total Sq. Ft of Construction:_ Cost of Construction: $ 10000 S Ft. of First Floor: Utilities:nSewer ❑Septic Building Height: ` 3 :r i/ s. � s �COf�jTRAGTOO f�t, ; , . , b- y� t ,•: �'OO�IU,N,ER/LESS�E .. _.'ry $� k"' � . __YJ �YSo 2yJ\I :.. _: i•_i:a-. K 1 r. P...L � :fat i. 'i4c a_ _ .f`Jsi' x1Vt:rs �_:_ - Name'TS`T&=ftf Crown Castle Name: Stanley Maclin Address:6420 Congress Ave., #2000, Boca Raton, FL 33487 Company: Mastec Network Solutions Address: 6100 Broken Sound Parkway, Suite 6, Boca Raton, FL 33487 City: State: _ Zip Code: Fax: City: State:_ Phone No. Zip Code: _ Fax: E-Mall: Phone No. Fill In fee simple Title Holder on next page ( if different E-Mail: 1 rn v D tile State or County License: CGC15157 from the Owner listed above) If value of construction Is $2500 or more, a RECORDED Notice of commencement Is required. JIB SUPPLEMENTALCONSTRUCTION LIEN. LAW,INFORMATION: DESIGNER ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Florida Gas Transmission Co % K E Andrews & Cc BONDING COMPANY: Name: _Not Applicable Address: 1900 Dalrock Rd., Rowlett TX 75088-5526 Address: City: City: Zip: 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 permlt holder to build the subject structure which is in conflict with any applicable Home Owners Assoc ation 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. Inconsideration 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 yoyy��ggtend to obtain financing, consult with lender or an attorney before commencine worl�recordiiM ur Notice of Commencement. s as Agent for Owner SignJture of Co tractor/License Holder STATE COUNT F FLORIDA naIk Retch COUNTYOFSTATE OF ORIDA I � COUNTY OF f The fo going instrument was acknowledged �bIefore me The forgoing Instrument as acknowledged before me this( day of EBtOe 201yby this day of. (Ujjytu✓ 20 �by person (Signature of Notary Pute of Florida i Personally Known q• Y B 1 ldentifitimMe ucH__ Type of Identification rod @ �'°_ NotaryPublc-State ofFWdda mmission#FF915138 Commission No. •`` dL1` •. ( E)Vm Sap 1, 2019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW R IE REVIEW REVIEW REVIEW DATE f �� COMPLETE INITIALS