HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETEDTOR APPLICATION TOW ACCEPTED
Date: SCANNtD Permit Num'ber� nc&
Ely-,
a RECEjv�l)
St. Lucie County:
JAN 0 4 211119
80.1ding Perr.nitApplication:
�l�tin'ingand'Dev.elopm'qntServ.i'ce� Permitting Dapartment
Building ond Codeflegulation Division- St. Lucie Munty
2300 YlrginiqAvenue, Fort Pierce FL 349 82
Phone: (772) 4624553 Fax: (772),462-1578 Commercial
Residenfial.
PERMITAPPILICATION FOR: To Select feom dropbo click arroW at the:end of tine
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 SOUTH OCEAN DRIVE (ROOF)
Legal Description:
Pro'Periv Tax ib 3534-502-004DO-aebto L6t,No.
Site . Plan Name: Regency Island Dunes CONDO Association ..Block No.
P Name:.AT&T HUTCHINSON ISLAND
�oi
Setbacks Front Back:' Right Side: Left Side:
FDETAILED DESCRIPTION, OF WORK:
UPGRADE ANTENNAS AND RRU
911mfov - 9
0 V�e_ :3 'P e 2 5, //�q
A
CONSTRU CTION INFORMATION:
Aaclitional worK to 136 pertormed, unclerth
OHVAC, '.Lj- Gas Tank
is. permit —check
E]Gas Pil
all
apply*..
lonShutters
ElWinclows/Doors
zElectric Ej Plumbing
[]Sprinklers
Generator
kooi, Roof pitch
iotal:Sq. Ft of Construction:
.
S Ft of First Floor:
Cost of Comt r6c . tion: $ 25,500
Utilities-11 SewerElSeptic
Building Height .
OWNERAESSEE:
CONTRACTOR:
Name AT&T MOBILITY
Name: STANLEY MACLIN,
Address: 8601 WEST SUNRISE BLVD
Company: . MASTEC NETWORK SOLUTIONS
City: PLANTATION State: FL
:.Zip Code: M22 Fax:
Phdn,e.No.
Address. 8600 South Ocean Drive
City; BdCARATON. State: FIL
Zip Code:..33487. Fax:
Phone No. 954 8014949
E7M6ill:
Fill in fee simple Title Holder on next page (if different
from the OwnerIlited above)
E-Mail: ROREY.WANLISS@MASTEC.COM.,
State or County License: CGC11515769
if -value of comtruction Is $2500 or more, a RECORDW Notice of commencement Is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: NotApplicable
N a me: AIPX ENGINEERING Narne:—
Address: 3400 LAKESIDE DRIVE Address:
City: MIRAMAR State: FL City: State:
Zip: 33027 Phone9547441538 Zip: Phone:
FEE, SIMPLE TITLEHOLDER:. _NotApplicable
N a me: Regency Island Dunes Condo Association
Address: 8600 South Ocean Ddve
City: Jensen Beach
Zip: 34957 Phone:
BONDING
City:
Zip: Phone:
—Not , Applicable
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 Court makes no representation that is granting a permit will authorize the permit holder to build the subject siructuire
which is in conlylict 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.�pollcations a .. re exempt from undergo I ing a full concurr6ncy review: room addiiions,'
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentia.1 use
WARNING TO OWNER: Your failure to Record a Notice of Commencementmay 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
commencink Work or recording Vour Notice of Commenicernent.
Signature of C?6ctor/License Holder
Signature of OwneAt Less
(�_��entlerftner
STATE OF FLOR]jDAi
COUNTYOF ge'Clah
STATE OF FLORIDA
COLINTYCIF 6eQC/)
J:�qlrn
Q01111
The forgoing nfstrfnent was acknowledg7lefore me
The oing instrAwent, was acknowledged before me
this_2LI day o —i nug V by
this�g dayofJQnL4qy)( '20a by
T_
"Na
Name of pers9dirftrig; statement
e of persKimaking statement
Personally Known V OR Produced Identification
Personally Known I/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida
(Signature of Notary Public- Sfate of Florida
... .......
!on N Potoli CS
N III, Y—PotolicS Pdk.dd,
CommissI I 0_.11J'�__Theresa Ann Ferrusi dal
es Ann Ferru I
commiss Y ublic State of FII
rte, Note a nn FerrUsi
MY COMMIssion
mrnis, 0 40-d
MY Commission Go 2L684
V
MI
GG 240684
Expires 07/2212022
3 07 J 0
—I 1 22 22
rcw Expires 07/22j2022
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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Rev. 8/2/17