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Home My WebLink AboutBUILDING PERMIT APPLICATION� r) —1 U ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO B E. EIV Date: SCANNED 2 NMI By St Luce COunty AUG 2 7 2018 1 Building Permit Ap ion c i Planning and Development Services 13y. Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPO��ED IMPROVEMENT LOCATIW: Address: 10680 S OCEAN DRIVE Legal Description- C)Xy Property Tax to#: 4511-516-0000-000-5 zc V I Lot No. Site Plan Name: Block No. Project Name: AT&T ANTENNA UPGRADE Setbacks Front Back: _ Right Side: Left Side: oaxiLtI3 DE�tRlP*`1ON'6'F;WORk.' INSTALLATION OF 3 RRU NEW AT THE ANTENNAS AND 3 IN THE EQUIPMENT SHELTER [6N�TROCT6N INFORMATION A001tionalworKtOtle rformed underthispermit checkantlial pply: 0HVAC GasTank E]Gas Piping lia E]Windows/Doors shutters ZE]ectric Plumbing OSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: E500.00 'Utilities: 0Sewer [:]septic Building Height: OWNER/LESSEE: Name: Name-, AT&T MOBILITY - DIANNA TERRY Address:_= 1 �WF:ST qI IN R I S E PI NO Company: MASTEC NETWORK SOLUTIONS Address: City:. PLA 4TA-TION State:FL Zip Code; —,3.>3 ZZ_ Fax: City: State: FL Phone No. Zip Code: 33487 Fax: Phone No. E-Mail: DT2108@ATT.COM Fill In fee simple Title Holder on next page (if different E-Mail: ROREY.WANLISS@MASTEC.COM State or County License: CGC1515769 from the Owner listed above) if value of construction Is $2S00 or more, a RECORDED Notice of Commencement Is requ—ired. -AUL APPLICABLE INFO M MUST BE COMPLETED FOR APPLICATION TO BE M ACCEPTED ' � M �m � - - M M . : '' M . . M . - M M � Date: _'00 ODA Permit Number. a Tlu 747 AFMCMIT i t! Building Permit A p ica manning and Development Services qqildiog and Code.R. egU - Ja M tion 2300 Virginia Avenue, Fort Pierce FL 34982 -Phone: (772) 462-1553 Fa x: (172) 462-1578 Commercial X Residential PERMIT-APPLI CATIONFOR To Select fecim dropbox, 6lick arrow at the end of:l.in-e PROPOSED IMPROVEMENT LOCAT ION Address: 0 6 To A - Oc &r V, ,Legal Description: �D�Mt��AWWDWN.0 OMPRIMGAPMT? F$.�Q..T�.E.111..Y�M41 MEOF�MAIA Property Tax ID #: 4511-516_00oo-ooib-5 Lot No. Site Plan Name: Block No. Project Nam6:.AT&T ANTENNA UPGRADE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACING EXISTING TELECOMW�ICZROOF TOP ANTENNAS CONSTRUCTION INFORMATION: 0itional work Tooe rierformea - unaer this permit — Check 0 11 A H'v Gas Tank [:]Gas, Piping "T=hutyers p p El Windows/Doors Elect'ric Plumbing []Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 27500 S Ft of First Floor: "nSewer-ElSeptib Building C" ion. Cost of Congtru t Utilities.. Height'. OWNERAESSEE: CONTRACTOR: Name APX ENGINEERING Name: N/A Acldress:�3 '/() 40 Zlh4eye!�_7191V ?/5,z-f Com . pany: -MASTEC NETWORK SOLUTIONS Ci . ty: MIRAMAR State: FL Zip Code: 33322 Fax: I Phone No. Address: 10680 1 S. OCEAN DRV City: State: FL Zip Code: 33487. Fax: Phone No. 954 994 4449 E-Mail:-DT21.08@ATT.COM Fill in fee simple Tiile Holder on next page I if different from the ()Wri�r listed above) E-Mail: RORLY.WANLISS@MASTEC.COM State or County License: CGC`1515�69 if value of conAruction, Is $2500 or more, a RECORDED Notice of Commencement is required, I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGN ER/ENG IN EER: NotApplicable - MORTGAGE COMPANY: NotApplicable Name: APX ENGINEERING Name: NfA Address: 3400 LAKESIDE DRIVE Aciclress� City: MRAMAR State: FL City: State: Zip: 33027 Phone Zip: Phone'. FEE -SIMPLE TITLE HOLDER: NotApplicable BONDING COMPANY: Not Applicable Name: ISLAND CREST CONDO ASSOCIATION Name: Add reSS: 10680 S. OCEAN DRV Address: City: JENSEN BEACH City: Zip: 34957 Phone: Zip* Phone: OWNER/ CONTRACTOR AF FIDVIT: Application is hereby made to obtain a permit to do the wo . rk and installation as indicated. I certifithat no work or installation has commenced prior to the issuance of a permit. St. Lucie Soun makes no representation that is granting a permit will authorize the permit holder to build the subject structure which- is i On7lict with any applicable Home Owners,Association.rules; bylaws.or and covenants that ma estrict or prohibit such ic structure. Please consult with your Home Owners Association and review your deed for any restrictions Yht h may apply. w In consideration of the granting of this requested permit, I do hereby agree thatr 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, wallSrsilins, screen rooms and accessory pses to another non-residential use WAR I NING TO OWNER: Y ' our 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 commencinR work or recording vo.ur Notice of Commencement.. Signature of Owner/ Lessee/Co ractor as Agent for Owner Signature of Con ctor/License Holder rRI STATE OF FLORIDAp COUNI ti ryl STATEC COUNTY OF VIVA seciilck The Ding instru nt was ac nowledgejd before me U Th,=ing inst It knowledge I efore me th day by thi= day of. 20J& by of Name of persogin . aking statement Name of person king statement Z�PCR Personally Known V OR Produced Identification Personally Known Produced Identification Type of Identification Type of Identification Produce — _i'r dda -Produced Notaly Public state of Florida Notaiii Pubt le 'ncn ffFerrd r 'N T ass AncWr Z s T x40 i., r M "m; heresa Ann Ferrusi 40.12124 2L 5i G 24O6S4 (Signatur6aQi��-�o�nda T (Signature Commission N6. I (Seal) C6mmiss lion No. (Sea I) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUR THE MANGROVE COUNTER REVIE R EVIEW REVIEW REVIEW REVIEW. REVIEW DATE RECEIVED DATE COMPLETED Rev.-9/2/17 - . A 111