HomeMy WebLinkAboutBUILDING PERMTI APPLICATIONN
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: _?
J_ 00S
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: III
Address: 7771 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: 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
I CONSTRUCTION INFORMATION: III
11HVAC
11 Electric
_J Gas Tank
El Plumbing
Total Sq. Ft of Construction: 400
Cost of Construction: $ 1,000-00
Piping Li S'hut'ters E]Windows/Doors
nklers E]Generator 0 Roof Roof pitch
Sq. Ft. of First Floor: 786
Utilities: ZSewer OSeptic 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: FIL
Zip Code: 34117 Fax: 407-386-7759
Phone No. 239-340-0027
E-maii:-Eugene.Harrell@carrollorg.com
Fill in fee simple Title Holder an next page I 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:
DESIGNER/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:
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 co 1lict with any applicable Home Owners Association. rules, bylaws or an9covenants that magestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions w ch 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 wit encler or an attorney before
commencine work or recorclina vour.Wottl5b of Commencement. I V
e
bignature Or uwner/Lessee/Lontracror as Agent Tor uwneT zjignaiure0l"Lontr ipucensenoicier
STATE OF FLORIDA 6@45�,Pf STATE OF IDA
COUNTY OF * AV/— COUNTY OF COLLIER
The forgoing instrument was acknowledged before me
this _7�e day of July 20 17 by
/0
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Gene Yacobacci
(Name of person acknowledging)
/(Signature of Notary Public- State of Florida I
Personally Known OR Pro dent1Va7Ic% r Personally Known X OR Produced Identification
I ; Type of Identification Produced
Type of lclentificabonTr�oduced_ IT." —00 4kc.
UBLIC
Commission No.
tary Public, Fulton CFU_nty._a
)mmisslon Expires Jima 12,20
Revised 07/15/2014
it MALWITZ
Commission No. MY MION #GG0900
E)MM.' APR 13, 2021
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k
ALL APPLICABLE INFO MUST BE COMPLETED FOR8K�W8M TO BE ACCEPTED
S
Date: 13Y Permit Number:
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 III
I PROPOSED IMPROVEMENT LOCATION: I
Address: 7771 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building# 1) Ist Floor
Legal Description: PINE SUMMIT (PB 40-13) TRACT D (31.76 AC) (OR 3929-972)
Property Tax ]D#: 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 one receptacle for radon fan. 40W, 0.4A (See Plan Sheet El)
I CONSTRUCTION INFORMATION: III
UFldlWUrKLUUUP
HVAC
iiurmuu
Ll Gas Tank
U111.1121 Llilb PCIIIIII.— UICLK Oil
E]Gas P!, -
apply.
Shutters
Windows/Doors
Electric
11 Plumbing
E]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 400
Cost of Construction: $ 200.00
S Ft of First Floor: 786
Utilities"'12 Sewer ElSeptic Building Height: 3 Story
CWNERAESSEE:
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.Harrell@carrollorg.com
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-mail: mikelangelecgyahoo.com
State or County License: ECO000227
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
[SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: X NotApplicable MORTGAGE COMPANY: N)(_ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: _)(,Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phon(
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
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 17ict 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-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 COUNTY OF COLLIER
The forgoing instrument was acknowledged before me
this _Wday of July 20 17—by
(Signature of NotAQ3ublic-St
Personally Known A OR
Type of Identification Produce(
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Michael T. Lang
(Name of yerson acknowledging)
(Sig6ature of Notary Public- State of Florida
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. E (SeV 0 "0' Commission No.
Lotary Public, Fulton County, GA P U 0 L I C
Revised 07/15/2014 1//f" 0 oljwi�
unsulemslawbPOPUBG
l.Z0Z'9l.UdV:S3HIcl)G
um-INW's ammolw
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS