HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO iMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
k A., BY
St. Lu i n
Buildineg5l"eVinit 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
l`KUt'U_'itU IIVIFKUVt]VltlNl I LULA I 11LIN: I � I I
Address: 7749 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building # 1) 1 st Floor
Legal Description: PINE SUMMIT (PE1 40-13) TRACT D (31.76 AC) (OR 3929-972)
Property Tax ID #: 3422-596-0007-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Arium Pine Lakes Apartments
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install radon mitigation (Mechanical Ventilation) system with electrical as per plan
CONST UCTION INFORMATION:
A001rionalworKTOcienertormed under this permit— check all apply:
HVAC Gas Tank DGas Piping Shutters
0 Windows/Doors
Electric Plumbing E]Sprinklers [iGenerator D Roof Roof pitch
Total Sq. Ft of Construction: 200 Sclft. of First Floor: 786
Cost of Construction: $ 1,000-00 Utilities: V1 Sewer E]Septic Building Height: 3 Story
OWNER/LESSEE:
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 9 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 CountyLicense: CAC1816667
It value at construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _2�_ 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:
_)(_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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and 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,,Pnancing, consult with lender or an attorney before
STATECIFFLORIDA STATE OF FLORIEVA
COUNTYOF COUNTY OF COLLIER
The ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this f9day of July 20 i7—by this'12 dayof July 20 17 by
.4ftlW 114 Gene Yacobacci
(Name of person acknowledging) (Name f perscRacknowledgIng
/AN,
`W�� ... J: /
(Signature of NotariPublic- State of Flo r/' JSignature of Ncitaq-�u�ric- State of Florida I
Personally Known A OR Prod$-
MIdentification- _u
Type of Identification Produced— Z�.$ 0 TA P? if
Commission No.
POSLIC
otary PublIc, Fulton County. GA
Revised 07115/2014
Personally Known X OR Produced Identification
Type of Identification Producpd
Commission No. DN#GG094310
_a� AW&SEI R. MALWrrZ
WIRES: APR 13, 2021
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I- �
ALL APPLICABLE INFO MUST BE COMPLETE%F?A APPLICATION TO BE ACCEPTED
Date: NNED Permit Number:
BY j"'
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
kP PERMIT APPLICATION FOR: Electrical
OPO
PROPOSED IMPROVEMENT LOCATION:
Address: 7749 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building # 1) 1 st Floor
Legal Description: PINE SUMMIT (P13 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.
I DETAILED DESCRIPTION OF WORK: 11
Install one receptacle for radon fan. 40W, OAA (See Plan Sheet El)
I CONSTRUCTION INFORMATION: I
11HVAC 1-1 Gas Tank
[Ilectric El Plumbing
Total Sq. Ft of Construction: 400
Cost of Construction: $ 200.00
Piping U Shutters 11 Windows/Doors
nklers 0 Generator 11 Roof Roof pitch
S' Ft of First Floor: 786
Utilities.. Sewer[]Septic
Building Height: 3 Story
OWNERAESSEE:
CONTRACTOR:
Name EIR 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 (if different
from the Owner listed above)
E-Mail: mike.langelec@yahoo.com
I State or CO. unty License: ECO000227
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGIN EER: X NotApplicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: _ Phone:
—State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
)L_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.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 oran9covenants 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
commencing work or recording voix Udtice of Commencement. , /
as Agent for Owner
STATE OF FLORIDA 609414 STATE OF FLORIDA
COUNTYOF A:tfad Al COUNTY OF COLLIER
The fo!Z41"ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this --by I — July 17 by
_'7JAay of July 2017 this 12 day of 20
efft".6 Michael T. Lang
I d (Name of person acknowledging I
Pililic- State of Florida ...... (signature of Notary Public- State of Flodda I
Personally Known A OR Procluso'*ptifirc
atiaP&"�, Personally Known X Q ", P. ed-ced. Ide ... tiftd.=
e, AL , lit
Type of Identification Produced Type of Identification Pro c&*� MICHELLE R.
N 0 T A 094 MY COMMISSIUN
Commission No. �*:(SeartooI;e.- Commission No. G:Q E0 13, '021
= -n: Mittel IN* rst Stanj insurance
!!!�1yPublic, Fulton County, GA S c� I
I I . - __ PUBLIC
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTUE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS