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