HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED Fok APPLICATION TO BE ACCEPTED
Date: 8/27/19 :SCANNED Permit Number:
BY
St. Lucie County
RECEIV.ED
Building Permit Application AUG 2 7 N19
Planning and;Development Services -
ST. Lucie CountY, Permitting
Building:and Code Regulatio n Divigion
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712)462-1553 Fax:,(772)462�1578 Cornmercial, X Residential'
:PERMIT APPLICATION -FOR: To Select fro'm droptiox,'click arrow at the end of line
PROPOSED IMPROVEME�INIVLO`CATON:
Address: 618 1
i
Legal Description:
Site Plan Name:
Project Name:
Setbacks . Front Back:
Block No.
:RightS!de:
Rernoving9 anten�nas and 6 radios, installing 9 new antennas.and 6 new radios. Lowvoltage to
replace antennas. FOR AT&T
JJClJlllL-UlFil% Oil 411J�ly.
11HVA G . as Tank-%,_[ _L.ElGas-Pi. M'Shutters.: 11_Windows/Do'6r's
Plum . b ng -0'5prinklers:- El dener . a . tor EIRoof
ElElectric EJ i:
Total Sq. Ft of Construction: S, Ft of First Floor:
:Cost '2,10CX:9 Utilities.. SiewerElseptic !Building Hieight::
OWNER/LESSEE:
�GONTRAGTWR,-�
Naml"'.' -AT&T Mobility -'Mike- Krisse': I
Name:- Stanley Maclin
Add 86 01* W.'Sunrise BIW;--_,�
resgT'
v
0 rk' olu ons, LLC
City: Plantation State: FIL
Zi . p I Code:, 33324 Fax: .
Phone No. 954-8()4-7045
Address: Y___ 6; �., ',.I, 4,04*wq,�� �iiite r,
City: Boca Raton State: FL
Zip Code:. 33487 Fax:'
PhoneNo. 5611-17169-9811;
E-Mail:
.Fill in fee iimpleTitle Holder on next page (IfAifferent
from the Owner listed above)
E-Mail:- Boca Raton PermittingCoD mastec.com
State�or County License:' CCC1 Sl S769
ffvaiue at construction is sz5uu or morel -a RECOKLIEL) Notice ot.Commencement is required;
31
L K'CN—iT,AL�C-E).N�SiTiRtU.C-�TilONILlIENit!A'' 1 -19 NMI, I it
DESIGN ER/ENGI NEER. Not Applicable
Name:
'La"e
MORTGAGE COMPANY:
'Name:
Not Applicable
Ad d ress—.* MS idefrive"Supite 525
-Address-.
City: Miramar , State: FL
zip: -nn? Phone:
'City:
Zip: Phone -
State:
FEE SIMPLE TITLE HOLDER:. Not Applicable
Name:
BONDING COMPANY:.
Name:
—Not Applicable
Address:
Address:
City:
City:
Zip: Rhone:
'Zip: _ Phone:
I certify that no work or installation has commenced prior-to.the issuance of a permit.
'St. Lucie'Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conlict with any applicable Home Owners Association rules, bylaws or-angcovenant5 that m estrict or -prohibit such
ic
ayhi
structure. Please consult with your, Home Owners Association and review.your deed for any restrictions w h may apply.
In considerationof the granting of this requested, permit, I do hereby agree that 1-will, in all respects, perform the work
in accordance with the approved Plans, the Florida Building Codes and St. Lucie CountyAmendments.
The following building permit applications areexempt from undergoing a full concurrencV revi . ew: room additions,
accessory structures, swimmingpools, fences, walls, signs, screen rooms and accesiory 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'Iender or an attorney.before
commencing work or recording vour Notice -of Commencement. I
Mike Krissel Stanlev Maclin<2
Signature of Owner/ Lessee/�ge&. Signature ofContractor/License Hol r-fl
STATE OF- FLORIDA STATE OF FLORIDA
COUNTY OF 'D�- �Ve[y�, COIUNTYOF
The forgoing instrument was acknowledged before me
thls:��day of _j46U';t -20 ffby
�Name of person acknowledging)
Personally Known
Type of Identific*
Commission
Revised 07/15/2014 .
OR Produced
Notary Public - S te 0 Florida
Go mission X4980
Mv COMM. Exlres Apr 21, 20D
�The'forgoing instrument was'actowledged before me
this day of A—IVS F 20 L7 by
S%"Ja�i 14AC�LA"
(Narne of person acknowledging:)
JSignature of Not4if. Public- State of Florida . . . . . .
Personally Known ... . ...... Ill 'ET
dAR 11 ', Plai
Type of Identif rnmanksion a GG 325980
s r
My Comm. ExPL, Z023
Ires Apr 21
I NOtrJ
Commission No. Borded throug�ml y Asir.
REVIEWS
FRONT
ZONING
SUPERVISOR.
PLANS.
VEGETATION
'SEATURTUE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
.DATE
COMPLETE
INITIALS