HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMIDWAY RD 3C
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,LLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �Id�1 SCANNED Permit Number:
BY
St -Lucie County
IVED
Building Permit ApplicatteZsie:ntia
Planning and DevelopmentServices 5 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL34982 nty, Permitting
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial x
PERMIT APPLICATION FOR: Building
Address: -1�6�Q z5;
Legal Description.'
Property Tax lD #: 3406-501-0040-000-5 Lot No.
Site Plan Name: MIDWAY RD Block No.
Project Name: First Net Radio upgrade '
Setbacks. Front Back:. Right Side:.- Left Side:
INSTALLATION OF 3 NEW RRU AND 2 NEW SURGE SUPRESSOR. INSTALLATION OF 3 RRU
INSIDE EQUIPMENT ROOM
LJHVAC U Gas Tank ❑Ga<-
Electric 0 Plumbing EISPI
Total So. Ft of Construction:. .
Cost of Construction: $ 8500
rill.— CneCK an TttdL apply;
Piping _llShutters. Windows/Doors
nklers E Generator g Roof Roof pitch
_ S Ft. of First Floor:
Utilitiesi Sewer�Septic Building, Height.
300'.
0W N ER/LESSEE:
CONTRACTOR:
Name AT&T Mobility - :.. _ :. '
Name: Stanley Maclin
Address: 8601 W Sunrise Blvd
Company: Mastec Network Solutions
Plantation _ _ FL
City:• State:_
Zip Code: 33322 Fax:
Phone .Nor(654)916-9696..
E-Mail:dt2lO8@att.com
6100 Broken Sound P Suite 6 '
Address: k`^N
City: Boca Raton State::FL .
Zip Code:33487 Fax:561-988-5829:
Phone. No. 561-962-9838 - .
E-Mail: bocaratonpermitting@mastec.com
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
State orCounty License; CGC1515769
If -value of -construction Is 5250U or more, a RECORDED Notice of Commencement Is required.
Ss PLEfVIEENTI L GM. NSTRU. ONIwNIEN:LAW INF,O.RMAITIION:
DESIGNER/ENGINEER: _ Not Applicable
Name: APX Engineering
MORTGAGE COMPANY:
Name:
— Not Applicable
Address:. 3400 Lakeside Dr #525
Address:
City: Miramar. State: FL
Zip: 33027 Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: FCC Environmental I.I.C.
BONDING COMPANY:
Name:
Not Applicable
Address:. 2175 Point Blvd Suite 375
Address:
City: Elgin, IL _ _.
City:
Zip: 61023 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
improvernents 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
22 A _
_ Signature of Owner/ 3see/Agent
STATE OF FLORIDA
COUNTY OF
ing instrum nt way acknowledged before me
day of�11 20 jq by
n ture of Notary Public- State
tat of rhta )
.d:
rs pally Known OR Prod and Identification
f Identification Produced
Commission No. ..64 0935 eal)
Revised 07/15/2014
Cam. a (t == s
Signature - ontractor/License older
STATE OF FLORIDA
COUNTY OF
The forgoing instrumggnt was, acknowledged befoi
this -6 day of =f [4 .. 20 i by
of
N n
Personally Known OR Pr duced Identificati n0
Type of Identification Produced w
Commission No. 0 09 3 72 (Seal) V
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