HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: MY
SCANNSD
Building Permit Application S Y
Planning and Development Services St. Lucie County
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: mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7755 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building# 1) 1st Floor
Legal Description: PINE SUMMIT (PB 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
OHVAC Ll Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction: 400
Cost of construction:$ 1,000-00
Piping
Sprinklers
Sh'utters Windows/Doors
Generator Roof Roof pitch
S Ft of First Floor: 1 039
Utilities"'12 Sewer ElSeptic 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, LILC
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@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 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/ENGINEEIR: X NotApplicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: &NotApplicable
Name:
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
improvernents to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to ob�t�on financing, consult with lender or an attorney before
STATE OF FLORIDA rWe4�IA STATE OF FLORIDX
COUNTYOF Akl-;W I COUNTY OF COLLIER
The f!Irgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7 -by I — July
a day of July 20 V this 12 day of 20 17 by
6 "r Gene Yacobacci
riedging) (Name of person acknowledging)
iblic- State of Florida) (illignitureol'NotarV ublic- State of Florida)
Personally Known .4 OR
Type of Identification Produce(
Commission No.
Notary Public, Fulton Count
Av Corrimisslon Exalres June i
Revised 07/15/2014
Type of
I At[ V -. !��1�1
0 0.- Commission
PUBLIC
WCOM 013CONMO
. =.APNR`13�20211
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
SCANNED
LifiRa I YEN �4 BY
Building Permit Application St. Lucie County
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7755 Pine Lakes Blvd, Port St. Lucie, FL 34952 (Building# 1) 1st Floor
Legal Description: PINE SUMMIT (PB 40-13) TRACT D (31.76 AC) (OR 3929-972)
Property Tax to #: 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: I
Install one receptacle for radon fan. 40W, OAA (See Plan Sheet El)
CTION INFORMATION:
1:1 HVAC L-1 Gas Tank
E]Electric El Plumbing
Total Sq. Ft of Construction: 400
Cost of Construction: $ 200.00
jas Piping U S'hutters OWindows/Doors
Sprinklers D Generator E]Roof Roof pitch
S Ft of First Floor: 1,039
Utilities'2 Sewer E]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.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 of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 4— Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
-P otApplicable
StAucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co %ict 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 financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Gommencement. I 1�1
5ignature ot uwner/Lessee/LontractoraS Agent Tor uwner bignaTare Or LoniraerDr/ucense noiaer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF COLLIER
The fo[going instrument was acknowledged before me
this 7V day of July 20 17-by
wee Je
,.�_ &L
ledging)
(Na DEL=�
(Signature of NotaVublic- State of Florida
Personally Known X OR Produc5
at
Type of Identification Produced _0.��\
14 0 TA R 1, "S
Commission No. (Se
46 cp
Notary Public, Fulton County, GA
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this 12 day of July 20 17 by
Michael T. Lang
(Name of person acknowledging)
(Sig4ature of Notary Public- State of Florida I
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
WrMMT Rj MAL,WTFZ 10
$KI #0 CM
EXPIRES: APR 13.2021
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-'IT
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milm-
SUPERVISOR
PLANS
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REVIEW
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DATE
COMPLETE
INITIALS
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