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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: L- 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: 7769 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 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 radon mitigation (Mechanical Ventilation) system with electrical as per plan I CONSTRUCTION INFORMATION: III 11 HVAC Ll Gas Tank E]Gas Piping 11 Electric El Plumbing []Sprinklers S"hutters L]Winclows/Doors Generator D Roof Roofp1tch Total Sq. Ft of Construction: 400 5 Ft of First Floor: 1,039 - C2 Sewer D Cost of Construction: $ 1,000-00 utilities: — Septic Building Height: 3 Story CWNERAESSEE: 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: FL Zip Code: 34117 Fax: 407-386-7759 Phone No. 239-340-0027 E-mail:-Eugene.Harrellgcarrollorg.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: CAC1 816667 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: Y 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 Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conlylict with any applicable Home Owners Association rules, bylaws or ang covenants that mayhrestrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions w c h 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 1pnder or an attorney before STATEOFFLORIDA 6CVM44 STATE OF FLORIDA COUNTY OF )C�ftMtl I COUNTY OF COLLIER The Ing instrument was acknowledged before me The forgoing instrument was acknowledged before me this lVday of July 20 i7 by I this 12 day of July 20 17 by Personally Known t OR Type of Identification Produce Commission Revised 07/15/2014 Gene Yacobacci (Name of person acknowledging) ....... 71 / 41slign!a�U OTARY... S 0800111111� j. E Persona :.5 Type of I of Notary Public- State of Florida ) Known X OR Commission No. ION#GGOW10 %0ITENS: 'APR 13,2021 REVIEWS FRONT ZONING SUPERVISOR 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) 462-1578 Commercial X Residential I PERMIT APPLICATION FOR: Electrical I I PROPOSED IMPROVEMENT LOCATION: I Address: 7769 Pine Lakes Blvd, Port St. Lucie, FIL 34952 (Building # 1) 1 st Floor Legal Description: PINE SUMMIT (PB 40-13) TFLACT 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: LeftSide: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: III Install one receptacle for radon fan. 40W, 0.4A (See Plan Sheet Ell) I CONSTRUCTION INFORMATION: III 0rlalWUl­K10UeP FTQlFn1eU Ll unuer inis permit— cneCK all E]Gas apply: In OWindows/Doors HVAC Gas Tank Fir _ Shutters Electric El Plumbing OSprinklers ElGenerator 0 Roof Roof pitch Total Sq. Ft of Construction: 400 Cost of Construction:$ 200.00 Sq. Ft. of First Floor: 1 039 Utilities: Z Sewer E]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.Harrell@carrollorg.com Fill in fee simpleTitle 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 $2SOO or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ER/ENGINEER: 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: _kNotApplicable 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 171ict 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 addiflons, 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 COUNTYOF 1051#w 1 COUNTY OF -COLLIER The forgoing instrumentwas acknowledged before me this _Wday of July 20 17—by of Notdry lublic- State of Personally Known -A OR Produ&MM�Atificatitim:n Type of Identification Produced— -0 A Commission No. IS -4 e tary Public, F County. GA pulton )mmission x re, hing 10 !)Ain Revised 07/15/2014 The forgoing instrument was acknowledged before me this 12 day of July 20 17 by Michael T. Lang I ame C, erson N X p acknowledging I (tignature of Nofary Public- State of Florida I Personally Known X OR Produced Identification Type of Identification Produced Commission No. EEI ZUMTM Id TIFEIN01W REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS