HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1 -1 Oq - uga.,
SCANNED
BY
nfkcie
Build! rAii'Okip'vplication
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 I
I PROPOSED IMPROVEMENT LOCATION: I
Address: 7265 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building # 4) 1 st Floor
Legal Description: PINE SUMMIT (PE1 40-13) TRACT D (31.76 AC) (OR 3929-972)
Property Tax lD#: 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.
I DETAILED DESCRIPTION OF WORK: III
Install radon mitigation (Mechanical Ventilation) system with electrical as per plan
ICON TRUZION INFORMATION:
Jona tonenertormed under this permit— checK
E1HV 0
all
Mapply:
OWindows/Doors
Gas Tank
E]Gas Piping
— Shutters
11 Electric El Plumbing
[]Sprinklers
ElGenerator
0 Roof Roof pitch
Total Sq. Ft of Construction: 400
Sc
Ft of First Floor: 1039
Cost of Construction: S 1,000-00
Utilities*
2 SewerEl Septic
Building Height: 3 Story
CWNERAESSEE:
CONTRACTOR:
Name ER Carroll St Lucie, ILC
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.HarrelI@carrollorg.com
Fill in fee simpleTitle Holderon next page (if different
from the Owner listed above)
E-Mail: radonfix@aol.com
State or County Uicense: CAC1 816667
If value of construction is $7500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGI NEER: X NotApplicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: _ Phone:
State:
FEE SIMPLE TITLE HOLDER: _�'Not Applicable
Name:
BONDING COMPANY:
Name:
_4Not Applicable
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 co %ct with any applicable Home Owners Association rules, bylaws or ang 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine workDr recordinp-vour Notice-tR Commencement. 4
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contfacl rVense Holder
STATECIFFLORIDA 0710A910q STATE OF FLORIDA
COUNTY OF ;;*�_ �F?Fly COUNTY OF COLLIER
The forgoing instrument was acknowledged before me
this day of July 20 17-by
Personally Known 4 OR
Type of Identificatidn Produce
Commission No.
Notary Public, Fulton County,
r Commission Expires June 12
Revised 07115/2014
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Gene Yacobacci
(Name of erson acknowledgi;n
(Sig'nature S fMary uSlic- State of Florida)
Personally Known X OR Produced Identification
Type of Identification Producell
Commission No.
U B L I C
MICHELLE R. MALMIZ
MtWh6MIN#G=00
EMES: APR 13, 21211
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
rc�`n__
MlInTall St. Lucie 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: 7265 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building#4) IstFloor
Legal Description: PINE SUMMIT (PE1 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 Apartrr
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Install one receptacle for radon fan. 40W, OAA (See Plan Sheet El)
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
1]HVAC Ll Gas Tank E]Gas Piping
1:1 Electric EJ Plumbing []Sprinklers
Total Sq. Ft of Construction: 400
Cost of Construction: $ 200.00
Shutters Windows/Doors
Generator Roof Roof pitch
S' Ft of First Floor: 1,039
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 at Commencement is required.
�SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGIN EER: _2L_ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
—State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
4_Not Applicable
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 conWict with any applicable Home Owners Association rules, bylaws or ang 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
r4i
STATE OF FLORIDA 60014 STATE OF FLORIDA
COUNTYOF Aa I, �&v I COUNTY OF COLLIER
The fo rgoing instrument was acknowledged before me
this _M day of July 20 j-7-by
Personally Known /\ OR Prod
ur
Type of Identification Produced—
Commission No.
2018
Revised 07/15/2014
(sea
PUBLIC
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Michael T. Lang
(Name of person acknowledging I
(Sigi(ature of Notarf Public- State of Florida I
Personally Known X OR Produced Identification
Type of Identification Produceq====�
�ft�% MOLIELLE R. MALWnZ
Commission No. GGOELM4311C "%MQ=10N#GG0943l0
"M.-APRlA2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS