HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number: P09-o
SCANNED
By
Bd1l&*P_errWt Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Mechanical III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 7241 Pine Lakes Blvd, Port St. Lucie, FIL 34952 (Building # 4) 1 st Floor
Legal Description: PINE SUMMIT (PB 40-13) TRACT D (31.76 AC) (OR 3929-972)
Property Tax ID#: 3422-596-0007-000-6
Site Plan Name:
Project Name: Arium Pine Lakes
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: —1
Install radon mitigation (Mechanical Ventilation) system with electrical as per plan
Add e,64r;c- 4-o
`P�,A;-�
I CONSTRUCTION INFORMATION: III
11HVAC Ll Gas Tank E]Gas Piping
11 Electric El Plumbing []Sprinklers
Total Sq. Ft of Construction: 400
Cost of Construction:$ 1,000-00
Shutters F]Windows/Doors
Generator 0 Roof Roof pitch
Sq. Ft. of First Floor: 786
Utilities: Z Sewer E]Septic
Building Height: 3 Story
OWNERAESSEE:
CONTRACTOR:
Name EIR Carroll St Lucie, LLC
Name: Gene Yacobacci
Address:.3340 Peachtree Road NE, Suite 2250
Company: Radon Mitigation Services, LLC;
city: Atlanta State: GA
Zip Code: 30326 Fax:
Phone No. 772-245-4530
Address: 3361 5th Ave SW
city: Naples State: FIL
Zip Code: 34117 Fax: 407-386-7759
Phone No. 239-340-0027
E-mail:-Eugene.Harrell@carrollorg.com
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-mail: radonfix@aol.com
State or County License: CAC1 816667
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGI NEER: X NotApplicable
Name:
MORTGAGE COMPANY: !w/, Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: —State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _kNotApplicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucieCoun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in con%ct with any applicable Home Owners Association rules, bylaws or an9covenants 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
commencine work or recordinE vour Notice of/tommencement. . A
STATECIFFLORIDA 6a&114 STATE OF FLORIDA
COUNTY OF AOZ7W � COUNTY OF COLLIER
Thefor �ing instrument was acknowledged before me
this 30clay of July 20 17 by
e
Of
Personally Known 4 OR
Type of Identification Produce
Commission No.
Revised 07/15/2014
Go
ri(Sear* 0
6A P U 8 L I C
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Gene Yacobacci
(Name of person acknowledging)
(Sigrfature of Notary Public- State of Florida I
Personally Known X OR Produced Identification
Type of Identification Producep=�
Commission No. GG09,L3 6WAiNIONaG0900
—4 -11 mi MI"'LLE RMALW'TZ
IDIPIRMAPRIS�I!W
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
iQI St. LUcle Countv
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 7241 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building # 4) 1 st Floor
Legal Description: PINE SUMMIT (P13 40-13) TRACT D (31.76 AC) (OR 3929-972)
Property Tax ]D#: 3422-596-0007-000-6 Lot No.
Site Plan
Project Name: Arium Pine Lakes Apartments
Setbacks Front Back: _ Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Install one receptacle for radon fan. 40W, OAA (See Plan Sheet Ell)
Block No.
I CONSTRUCTION INFORMATION: III
1]HVAC I Gas Tank E]Gas Piping
11 Electric El Plumbing []Sprinklers
Total Sq. Ft of Construction: 400
Cost of Construction: $ 200.00
Shutters OWindows/Doors
Generator 1:1 Roof Roof pitch
S Ft of First Floor: 786
Utilities.. Sewer ElSeptic Building Height: 3 Story
OWNER/LESSEE:
CONTRACTOR:
Name BR Carroll St Lucie, LLC
Name: Michael T. Lang
Address:_3340 Peachtree Road NE, Suite 2250
company: Mike Lang Electrical Cont., Inc.
city: Atlanta State: GA
Zip Code: 30326 Fax:-
Phone No. 772-245-4530
Address: 5408 San Roma Circle
city: Lake Worth state: FL
Zip Code: 33467 Fax:
Phone No. 561-723-2895
E-Mail:-Eugene.Harrell@carrollorg.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: mikelangelec@yahoo.com
State or County License: ECO000227
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X NotApplicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Ad d ress:
City: State:
Zip: Phone:
City: State:
Zip: _ Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1%ict with any applicable Home Owners Association rules, bylaws or and covenants that ma estrict or prohibit such
1c
structure. Please consult with your Home Owners Association and review your deed for any restrictions y4i h may apply.
w
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
comm encinR work or record inR vou r N oticeeof.Rommencement. . , / 101,
Agent for Owner
STATE OF FLORIDA&OM/A STATE OF FLORIDA
COUNTYOF 77111W I COUNTY OF COLLIER
The fo!gclj . ng instrument was acknowledged before me
this --Zoay of July 20 1-7by
Personally Known /\ OR
Type of Identification Produce
June
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Michael T. Lang
(Name of person acknowledging)
(Signature of Notiry Public- State of Florida I
Personally Known X OR Produced Identification
Type of Identification Prodqced
* : V1 V , ", R Commission No.
.(SeMI;* 0 *'A�
PUBLIC p
My =MIR. MALWrFZ
N #GG094310
WMES:APR13.2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS