HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFP12-3C
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: VZ, vAy Na- SCANNED Permit Number:
BY
- St. Lucie County
Building Permit Application DEC 19 2017
Planning and Development, Services
Building and Code Regulation Division BY;
2300 Virginia Avenue, Fort Pierce FL 34982 """' ••
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Building III
PROPOSED IMPROVEMENT LOCATION:`
Address: M01 Orange Ave
Legal Description:
Property Tax ID #: 2408-311-0001-000-0
Site Plan Name:, FP12
Project Name: 3rd Carrier Overlay
Setbacks Fron._ Back:.
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side: J
Lot No.
Block No.
Removing 9 existing antennas, installing 9 new antennas and 6.new radios on 300' tower,
N INFORMATION:
L_J Gas Tank
0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 27,500
ing L_IShutters
ars El Generator
SQ �Ft. of First Floor: _
Utilities:ll Sevver E]Septic
❑ Windows/Doors
Roof Roof pitch
Building Height: 300'
OW N E RAESSE E:
CONTRACTOR:
Name AT&T Mobility
Name: StanleyMaclin ,
Address:8601 W Sunrise Blvd
Company: Mastec Network Solutions
City: Plantation State: FL
Zip Code: 33322 - - Fax:
Phone No. (954) 916-9696
Address: 6100 Broken Sound Pkwy Suite 6
City: Boca Raton State: FL
Zip Code: 33487 Fax: 561-988-5829
Phone No. 561-962-9838
E-Mail: dt21b8@att.com
Fill in fee simple Title Holder on next page (if different
from, We Owner listedabove)
E-Mail: bocaratonpennitting@mastec.com
State or County License: CGC1515769
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIOWLIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: _ APX Engineering
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 3400 Lakeside Dr#525
Address:
City: Miramar
Zip: 33027 Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name: Florida Power & Light
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 700 Universe Blvd
City: _Juno Beach
Zip' — 33408 Phone:
State: FL
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
STATE OF FL
COUNTY OF
The forgoing instrument was acknowledged before me
this Ldt_ day of Derr mlow 20 4by
1
(31gnature of Notary Public -State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. MONI UE)NICOLI NOBLE
-`°
My COMMISSION #FF080936
EXPIRES January 5. 2018
Revised 07/15/201 FmritloNotu Ysvrvlca.com
Signature
STATE OF'FL
COUNTY OF
The forgoing instrument was acknowledged before me
thisLdayoaPPIPM&4' 20 J-:I_by
SfUnle,4 (MAdiri;
(Name of person acknowledging )
ignat a of Notary Public- State of Florida )
Personally Known OR
Type of Identification Produce
Commission No.
MOIg NICOLI NOBLE
My COMMISSION #FF080938
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