HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APP - LICABLE INFO . MW BE COMP LETIED FOR APPLICATION TO BE -ACCEPTED
Date: 8CANNED Permit Number: Uq 17
y
St. Luc.i6 CoUnty
RECEIVED
Building Perr.nit'Application JAN 0 4 2019'
Plonn'm-g and Development Services
Building and Codeflegulation Division parmittinso
St L ePartment.
2300 Virginia A -venue, Fort Pierce FL 34982 Comme CQ417i;�
Phone: (772) 462-1553 Fax: (M) 462-1578 rcialz_ Residential
PERMItAPPLICATION FOR: To Select from dropbox, click arrow at the end Of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1480 DYER RD
Legal Description:
Property I Tax ID #:'3414-50..1-0716-000/0
Lot No.
Site Plan Name: ST LUCIE GARDENS S/D
Block No.
Project Name: AT&T RIVERPARK
Setbacks Front Back:.. kight Side: Left Side:
DETAILED DESCRIPTION, OF WORK:
REMOVAL OWRKU ANUINSTALLATION OF &NEW RRU I h. Cl�)ItCr',hct (Ifeq
_tV1t+a)-L RRLA 5 lE, 4WAk--r CiLf Ork
CONSTRUCTION INFORMATION'
Additional work to be ertormed - under this. permit — chec a apply:
OHVAC Gas Tank E]Gas Piping Shutters
-E]Windows/Doom
ZElectric Plumbing OSprinklers Generator
Roof Roof pitch'
Total Sq. Ft of Construction: S Ft of First Floor:
12,500 InSewer OSeptic
Cost of Construction: $ Utilities.
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AT&T MOBILITY
Name: STANLEY MACLIN
Address: 8601 WEST SUNRISE BLVD
Company: MASTEC NETWORK SOLUTIONS
City:. PLANTATION. State: FL
Zip Code: P�322 Fax:
Phone No.
Address: PO 13OX 723597
Stat FL
City, BOCA RATON e
Zip Code: 33487 Fax:
Phone No. 954 8014949
E-Mail:—
Fill in fee simple Title Holder on next page (if different
from the Owner flited above)
f
E-Mail: ROREY.WANLISS@MASTEC.COM
State or County License: CGC1515769
If Value of c,pristructionis $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGI NEER:
Name: APX ENGINEERING
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address: 3400 LAKESIDE DRIVE
Address:.
City: MIRAMAR
Zip: 33027 Phone 954 744 1538
State: FL
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable
Name: AMERICAN TOWERS SYSTEM INC
BONDING COMPANY: —Not Applicable
Name:
Address: PO BOX 723597
Address:
City: ATLANTA
City:
Zip: 31139 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subj ect structure
which is in cc 1xict 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
0
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-residefitial 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
commencing work or recordina vour Notice of Commencement.
Signature of Owner/ Less- A/Gentm
STATE
COIJNI e) ecICk
The f ing inst�ument was acknowledgedAefore me
this rday of-ACIn I j ct VS1 by
'V� le—YYLI
Nameofperson ak gstatement
Personally Known VOtProduced Identification
Type of Identification
(Signature of
Commission.No. jrjO�� �h: I X, Florida
;y,�u"CV
si
Vj t�Ln�I!!I�GG240684
REVIEWS FRONT I ZONING SUPERVISOR
I COUNTER REVIEW REVIEW
167-ITIIA
Rev.
Signature of Con 71b r/License Holder
STATE OF FLORIDA
COUNTYOF 'actim j?eC)ah
The forgoing instrWent was acknowledged before me
this day of . Ic? 11 by
Name of pfirsSpftaking statement
Personally Known V OR. Produced Identification
Type of Identification
Produced
(Signature o
Commission j,ejWj'NN Notary Publio State of Floft
. Theresa Ann Fenu(6eal)
,XcM�ff 1MyCQMMIUIon13G2406M
VEGETATION I SEATURTLE MANGROVE
REVIEW REVIEW REVIEW