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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
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41111
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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
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS