HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . .
Dater %ai \ Permit Number: 1104 61QA
SCANNED
BY RECEIVED
_ __ St: Lucie County APR 12 Z018
Building Perini AppI ion
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Fl. 34982
4one:'(772)462-1553 Fax:(772)462-1578 Commercial x Residential-
PERMITAPPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 14ngle Road,_Ft Pierce, FL 34945 Ll��
Legal Description:
Property Tax ID #: 2306-111-0002-000-0 Lot No.
Site Plan Name: 'FP01 Block No.
3rd'Carrieroverla
Project. -Name:- Y.
Setbacks - Front Back:. Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
(1)Installing 6 new antennas & 4 new radios (3)New fiber trunk and mount- replacement
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CONSTRUCTION INFORMATION:'
fiaaQ101161 worK to ne errormea, unaer mis_ permit —cnecK all WU apply:
HVAC Gas Tank E]Gas Piping Shutters ❑windows/Doors .
✓ZElectric OPlumbing ❑Sprinklers OGeneratorRoof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: 27,500 UtilitiesSewerSeptic Building Height: 440'_
O -R/LESSEE
CONTRACTOR:
Name Cleopatra Dunn/-
t
Name: StanleyMaclin - -
Address:14105 An a Road
Company: Mastec Network Solutions
City: Ft Pierce State: FL
Zip Code: Fax:
Phone No.
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: nin
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 construction is $2500 or more, a RECORDED Notice of Commencement is required. '
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: USA Engineering
MORTGAGE COMPANY: Not Applicable
Name:
Address: 2818 Cypress Ridge Blvd
Address'
City: Wesley Chapel i State: R
Zip: 33544 Phone 813-894-0365
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:. _Not Applicable
Name:
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 C
which is it
structure.
the permit holder to build the subject structure
and covenants that may restrict or prohibit such
aed 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 FloridaBuilding 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.
��t�-"rI
Signaure of OCNner/ Lessee/Contractor as Agent for Owner
Signature of tractor/License Holder
STATE OF FLORIDA— P
COUNTY OF
STATE OF FLORIDA Qn 1m %i` �i'. fiv
/ /J•C
COUNTY OF
The fo/going instru nt w s acknowledged-yefore me
`7
The fo5going instrum nt was acknowledged.bgfore me
`l
this day of 20 /yby
this day of 20LJiby
M f
S �A/1t�C y 'L7%t '
Name of eer o making statement
Name of person making statement
Personally Known iOR-Prod ced Identification
Personally Known �- Produced Identification ..
Type of Identification
&RiE FERRER
Type of Identification
Pro uce Ea
Produced
7T
' 1 •; "' MMISSION • 060S3sd
YM �OgS571
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PIRESMn112.2021
o +°"'i?: MY'COMMlSS12021
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(Signature of Notary Pulgle-5turn onda )
'(Signature of 'Public-Sta a )
07� Seal
Commission No. � )
s
Commission
No. (Seal)
)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I
I'
S
DATE
COMPLETED
Rev.8/2/17
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