HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFP12-3C
ALL APPLICABLEINFO MUST BE'COMPLETED FOR APPLICATION TO BE ACCEPTED
61a SCANNED Permit Number:
Date:_�BY
St, LUcie County CF�RECI
-- 8
Building Permit Applicatio
Planning and Development Services rmitting
Building and Code Regulation Division
2300:11irgioiaAvenue, Fort Pierce FL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential .
PERMIT APPLICATION FOR: Building.
PROPOSED IMPROVEMENT LOCATION:
Address: 3301 Orange Ave
Legal Description:
Property Tax ID #: 2408-311-0001-000-0 Lot No.
Site Plan Name: FP12 Block No.
Project Name: Tower Modification
Setbacks Front Back: Right Side: Left.side:
I DETAILED DESCRIPTION OF WORK: III
300' Tower Modification.
CONSTRUCTION INFORMATION:
LJJ Gas Tank
❑ Plumbing
TotalSq. Et of Construction: _
Cost of Construction: $ 22,000
pci uua—uia�n au appy. -
Gas Piping Shutters ❑ Windows/Doors
Sprinklers ❑ Generator ❑ Roof .: Roof pitch
S Ft. of First Floor:
Utilities:'nSewer❑Septic Building' Height:300'
OWNER/LESSEE:
CONTRACTOR:
Name AT&T Mobility
'Name: StanleyMaclin
Address- 860.1 W'Sunrise Blvd
'Company: Mastec Network Solutions
City: Plantation State: FL
Zip.Code: ,33322._ , , Fax::.. ..:
Phone No. (954) 916-9696
Address:. 6*100. Broken Sound Pkwy'Suite 6 '
City: Boca Raton , _ r _ _ _ _ _ . State: FL
Zip Code: 33487. Fax: 561-988-5829 '
Phone No: 561-962-9838
E-Mail: dt21'O8@att.c6m
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: CGC1515169
If value of construction Is $2500 or more; a RECORDED Notice of Commencement is. required
F®/2 —.-�d";'�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: APX-Engineering
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 3400 Lakeside Dr#525
Address:
City: Miramar State: FL
Zip: 33027 Phone:
_
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Florida Power & Light
BONDING COMPANY: _Not Applicable
Name:
Address: 700 Universe Blvd
City: _Juno Beach. State: FL
Zip: _33408 Phone:
Address:
City:
Zip: Phone:
1 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.
_ Signature of Owner/ Lessee/A ent
STATE OF FLORIDA
COUNTY OF .Im oko1n
The forgoing instTment was acknowledge efore me
this � day of J`tp 121 20 �by
person
Known OR Produced Identification
Type of
MONIQUE
Revised 07/15/2014
a S
Signature of Contr for/License Holder
STATE OF FL IDA
COUNTYOFa�vn"! PinrL�
The forgoing instrument was acknowledged before me
this r�L day of Y i� 20 IL by
(Name of person acknowledging)
of Notary Public- State of Florida )
Personally Known OR Produced Identification ✓
Type of Identificatioq Producedd✓IA?4 11CQ✓V-Z�
141287 1111 Commission No.
MOtS1mlNicou NOBLE
MY COMMISSION # GG 141287
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