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BUILDING PERMIT APPLICATION
V 800642 AT&T FirstNet 10070112 correc,�d Pax - ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ Date: SCANNED Permit Number BY _ St. Lucie Counttyy Building Permit 4plicati In MAR 2 0 2019 Planning and Development Services Building and Code.Regulation Division Permitting Department 2300 Virginia Avenue; rort Pierce Ft 34982 t ie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x PERMIT APPLICATION FOR Other PROP;OSEDtIMPRO VEMENT^LOCATION, Address: 16800 OKEECHOBEE RD Legal Description: 1 36 38 THAT PART OF W 112 OF SEC LYG NLY OF SR 70-LESS CANAL RS/W AND LESS OKEE RD WIDENING AS IN OR 308-2039- (144.88 AC) (OR 2712-91) Property Tax ID tt: 3201-244-0039-000-8 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: pETAILED,DESCRIPTION,OF WORK '= The scope of work consists of: removal of (3) existing antennas; removal of (3) existing RRUs (remote radio units); installation of (3) new antennas; installation of (1) new surge suppressor unit; installation of (4) new RRUs in antenna area; and installation of (3) new RRUs in shelter.. CONSTRUCTION,'INF,ORIVIATION,: x a Additionalworkto e e orme under t—checkispermit al apply: ❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 19000 Utilities:n Sewer ❑Septic Building Height: (TWNER/LESSEE ; '. CONTR'ACT©R Name AT&T/Crown Castle Name: Stanley Maclin Address:6426 Congress Ave, Suite 2000 Company: Mastec Network Solutions City: Boca Raton State: FL Zip Code: 33487 Fax: Phone No.561-544-4975 Address: 6100 Broken Sound Parkway; Ste 6 City: Boca Raton State: FI Zip Code: 33487 Fax: Phone No. 561-544-4975 E-Mail: SFLPermits@crowncaslle.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: SFLPermits@crowncastle.com State or County License: CGC1515769 If value of construction is $2500 or more, a RECURRED Notice of commencement is regmrea. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: EvansPropereslnc _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: 660 Beachland Blvd Ste 301 Address: City: Vero Beach City: Zip: 32963 Phone: Zip: Phone: I 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 S,,M, s _ Signature of O er/ Lessee/Agent Signature , ontractor/License Holder STATE OF FLORIDA {� COUNTYOF The forgoing instrument was this A2_ day of T-PbTVQ' (Name of person rA STATE OF FLOggIM COUNTY OF` A(�,m W-Gcb The fo gos naning in mennt/w�ass acknowledged before me this dayof1 20 Aby �MLC-1—t.J M22(Name of person acknowledging) 6 � (_JQ �KL&d V ; •••��\\\ (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) Revised 07/15/2014 Personally Known OR Prod Identification Type of Identification Produced Commission No. 238793 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEWZ REVIEW REVIEW REVIEW REVIEW DATE I If COMPLETE ` INITIALS 800642 AT&T FirstNet 10070112 ALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7; �'J'`� �6U SCANNED Permit Number: 1 Oq E,.. BY St. Lucie County RECEIVED Building Permit Application Planning and Development Services FEB 15 2019 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentia PERMIT APPLICATION FOR Other II PROPOSED IMPROVEMENT LOCATION`. - Address: 16800 OKEECHOBEE RD Legal Description: 1 36 38 THAT PART OF W 1/2 OF SEC LYG NLY OF SR 70-LESS CANAL RS/W AND LESS OKEE RD WIDENING AS IN OR 308-2039- (144.88 AC) (OR 2712-91) Q_t I;C� lyy--M 3201-244-0039-000-8 ` � Property TaxlD#: — C`�aMepnrilg5 r6wiyA li kQ Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. AT&T FIRST NET is proposing to add (1) antenna, (2) raycap, (2) power, (1) fib inal configuration: (12) antennas, (15) RRUS, (3) raycap, (6) amplifier, (6) TBC diplexer, (3) fi , (6) power, (5) filter, (12) coax)No change to lease ground space. The (3) 4478 first net radios going to be ground mountedr/ (6) DBC0037F1V1-1 diplexer grounded. 11HVAC LJGas Tank ,Electric 0 Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 19000 apply: Shutters Windows/Doors Generator D Roof S Ft. of First Floor: _ Utilities:n Sewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name AT&T / Crown Castle Name: Stanley Maclin Address: 6420 Congress Ave, Suite 2000 Company: Mastec Network Solutions City: Boca Raton State: FL Zip Code: 33487 Fax: Phone No.561-544-4975 Address: 6100 Broken Sound Parkway, Ste 6 City: Boca Raton State: FI Zip Code: 33487 Fax: Phone No. 561-544-4975 E-Mail: SFLPermits@crowncastle.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: SFLPermits@crowncastle.com State or County License: CGC1515769 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.