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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1% ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED PermitNumber: BY St. Lucie County 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 I PERMIT APPLICATION FOR: Mechanical III I PROPOSED IMPROVEMENT LOCATION: I Address: 7245 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building#4) IstFloor 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 Apartments Setbacks Front Back: _ Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: III Install radon mitigation (Mechanical Ventilation) system with electrical as per plan I CONSTRucTiON INFORMATION- III onaiwumtoue HV Electric MGasTank effurmeo unuer inis permit— cnecr all apply: []Gas , - In Shutters Windows/Doors OSprinklers D Generator E]Roof Roof pitch ElPlumbing Total Sq. Ft of Construction: 400 Cost of Construction:$ 1,000-00 S Ft of First Floor: 786 Utilities'C2 Sewer ElSeptic Building Height: 3 Story OWNERAESSEE: CONTRACTOR: Name BR 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: FL 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 ( if different from the Owner listed above) E-mail: radonfix@aol.com - State or County License: CACI 816667 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _?L_ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: Y�NotApplicable 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. Lucie Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in con,7!ct with any applicable Home Owners Association rules, bylaws or anscovenants 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 STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COLLIER COUNTY OF The foEg2ing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _Wday of July 20 17-by this 12 day of July 20 17 by Alw A& 15?we Gene Yacobacci (Name of perAn a.&o-wLedging) (Name ofperson acknowledging) of Notary Pub-M- Slate of Florida ) PersonallyKnown VY OR Produced �C�lilq ' 10,81) Type of Identification Produced "'N ZF QN N ..0 I -ZF -, Commission No. 40 - S ct :isfFb T A Iq .Not to, Fulton County, GA ei ;m.. Pu III PUBLIC Revised 07/15/2014 S-1-N... of Florida ) Personally Known X OR Produced Identification Type of Identification Produced Commission No. MAIE R. MALWiTZ WC0MMWI0N#GGWM0 REVIEWS FRONT U L 41111 ZONING N T"I 198 9RVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY St. Lucie County 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) 462-1S78 Commercial X Residential PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 7245 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building # 4) 1 st Floor Legal Description: PINE SUMMIT (PEI 40-13) TRACT D (31.76 AC) (OR 3929-972) Property Tax ID #: 3422-596-0007-000-6 Site Plan Name: Project Name: Ariurn Pine Lakes Apartments Setbacks Front Back: _ Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: III Install one receptacle for radon fan. 40W, 0.4A (See Plan Sheet Ell CON TRUCTION INFORMATION: WdU_ [tL_ __ lonal worR tobeDerrormed under this permit— check all apply: E:1HVAC Gas Tank E]Gas Piping Shutters OWindows/Doors E]Electric Plumbing OSprinklers Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: 400 Cost of Construction: $ 200.00 5 Ft of First Floor: 786 utilities: Sewer []Septic Building Height: 3 Story OWNERAESSEE: 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.HarrelI@carrollorg.com Fill in fee simple Title Holder on next page I 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: Name: X NotApplicable MORTGAGE COMPANY: Name: 4ll NotApplicable Address: Address: City: Zip: Phone: State: _ City: Zip: _ Phone: —State: FEE SIMPLE TITLE HOLDER: Name: OL—Not Applicable BONDING COMPANY: Name: _PotApplicable 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 conWict 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-residentilal 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 commencing work or recording your Noticeof Commencement. - - 1 10, STATE OF FLORIDA C? STATE OF FLORIDA COUNTYOF WI&I I COUNTY OF COLLIER The foMoi . ng instrument was acknowledged before me this -Wday of July 20 :U-by e, Personally Knovm_ Type of Identification Commission No. Notary Public, Fulton Revised 07/15/2014 OR The forgoing instrument was acknowledged before me this 12 day of July 20 17 by Michael T. Lang (Name of person acknowjedging) (Sighatbre of Notary Public- State of Florida Personally Known X OR Produced Identification Type of Identification Produced zg-: T4V1'Rjfy-. f*-'(Ses4e.e� 'Cn= Commission No. GA. PUBLIC J-�� .. �Scel% '111111191E R. MALWITZ MYCOWMI011#13M318 BOOM fto Ut ft lmumr= REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS