HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONk.
All APPLICABLE INFO MUST BBCE, COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (o /- /`�/ Permit Nw
SCANNED
BY
St Lucie County
Building Permit Appli
Planning and Development Services
Building and Code Regulation Division 813700 AT&T tooaoasz FP33
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
PERMITTYPE: Q'+ i I I .i._y
PROPOSED IMPROVEMENT LOCATION:
Residential
Address: 2651 Minute Maid RD
PropertyTax ID #: 1231-111-0003-000-5 Lot No.
Site Plan Name: 827514 FP33 MINUTE MAID BRA360 AT&T FirstNet 10080462 Block No.
Project Name: AT&T FirstNet
DETAILED DESCRIPTION OF WORK:
Upgrade existing equipment at cellular telecommunications site. 9 N nn 45 3 ew -Ru S 7b GJ
13 CW ig Z New -bri- 's v-� I-'t2z<e6 3 -J 14 -'1?f�
Arl n II nsso6 a4e,6 Ntorick
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
✓Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 20) WO Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AT&T/Crown Castle
Name: Stanley Maclin
Address: 6420 Congress Ave #2000
Company: Mastec Network Solutions
City: Boca Raton State: FL
Zip Code: 33487 Fax:
Phone No. 5611-544-4965
Address: 6100 Broken Sound Pkwy
City: Boca Raton State: FL
ip C de: 33487 Fax:
h o
E-Mail: S c �P�1�t�5�d�Y1
Fill in fee simple Title Holder on next page ( if differe
9
from the Owner listed above
-Mail
State or Count License CGC1515769
y
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: 5 i
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:4Q91F3 ,rnfp
; '6 Jci
•
Address:
City: . 1C rr
Zip: ?1c Ph ne . J
2 State: L
2 GG4- o lety
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: J and L Hale LLC
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address: 398 SE Narania AVE
Address:
City: Port St Lucie, FL
City:
Zip: 34983 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 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 JOB SITE BEFORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER -OR -AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/O
ntractor as Agent for Owner
Signa u f Contractor/License Holder
STATE OF FLORID
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STATE OF FL�IDA
COUNTYOF(
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COUNTY OF�(ILMCnC GI
The forgoing instrument was acknowledged
before me
The forgoing instrument was acknowledged before me
this�Lidayof 5yr7Pi
20-R by
this�dayof,`)ut�Q .26a by
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G o
1iICAAN
Name of person making statement.
Name of person making statement.
Personally Known N OR Produced Identification
Personally Known `)� OR Produced Identification
Type of Identification
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Type of Identification
Produce
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Produced
(Signature of Notary Public- Stas*Florida
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(Signature of No y.AabNL�5�41'%IfPFR{ii a
9CG330873
MICHELLE SC IN
Commission No.
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