HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 �5 Permit Number:
�% '.µ. RECEI'.'PD JUL 012015
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 Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED,IMPROVEMENT LOCATION
Address: 8020 LINKS WAY
Legal Description: POD 26 AT THE RESERVE PHASE 1
Property Tax ID#: 3327-707-0045-000-0 Lot No.
Site Plan Name: Michael Sokobin Helene Sokobin Block No.
Project Name: Michael Sokobin Helene Sokobin
Setbacks Front Back: Right Side: Left Side:
DETAILED D,ESCRIPTION,CIF WORK:
AC CHANGE OUT 5TON 16SEERS "--1/ KIK/
CONSTRUCTIQ`N`.IN'FORMATION:
Add itiona I work toe e orme un ert ispermit—checka appy:
❑✓—HVAC E] Gas Tank E]Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4000.00 UtilitiestSewer Septic Building Height:
OWNER/LESSEE:. `d CONTRACTOR:
Name Michael Sokobin Helene Sokobin Name: RICHARD LEVINSON
Address:8020 LINKS WAY Company: SERVICE AMERICA
City: PORT SAINT LUCIE State:FL Address: 2755 NW 63RD COURT
Zip Code: 34986 Fax: City: FORT LAUDERDALE State:FL
Phone No.772-466-7672 Zip Code: 34986 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 EXT 5673
Fill in fee simple Title Holder on next page ( if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM
from the Owner listed above) State or County License: CAC014619
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
RECEIJUL 0 2015
SUPPLEMENTAL CONSTRUCTION .LIEN LAW INFORMATION,:,:-
DESIGN ER/ENGINEER:
NFORMATION,.,DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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 covenant /that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any res Ictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all res ects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amen ments.
The following building permit applications are exempt from undergoing a full concurrency r view: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory us s to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of C me a ent ay result in your paying twice for
I Aroments to yourproperty. A Notice of Commence en ust e r corded and posted on the jobsite
eirst inspection. If you intend to obtain financ' g, sul th lender or an attorney before
c g work or recording our Notice of Commendeyni t.
10
S
Sig ire o ,. '.,'er/Lessee/Agent N, �Si 'a ure of,Contractor../License Holder.
..
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The ing instrument was acknowled a before me The forgoing instrument was a knowledg9d b e me
thiday of 20/aby thi�day of 20
RICHARD LEVINSON RICHARD LEVINSON
(Name of person c nowle ing) (Name of person a n 4dgi g)
(Si atur of No r P -State of Florida ) (Si a/yKnow
f Not Public-State of Florida)
erso Ily Known OR Produced Iden 'fication erson OR Produced Identification
1Zr e of Id ype ifi atil' c ,
2°' = MY COMMISSION#FF 072984 ,�o'�`yg�; JESSICA DOTSON
Commissi '<` ;*: *_ MYCOMMISSION#F�b
EXPIRES November 25,gQl) Commission N
Banded Thm Notary Public Underwr ters oc RES:November 25,2017
1 p.5011 Bonded Thru Notary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
i
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
'`F[ BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
"mmm E C E I V E FORT PIERCE,FL 2)462
(772)462-1553 Fax(772)462-1578
DEC 12-2016 PERMIT RENEWAL REQUEST
PERMITTING
St. Lucie County, FL
PERMIT NUM13ER: aU150-1-0CxZ ADDRESS: �ZU Unlc s &)N
am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
st' kation —Fle ►InS,b2Gtjon ugas n& able. tcl loe com blf'iecl
OWN R O ONTRACTOR SIGNATURE , ID''EE
f)iC',h3v-d JQN i neon.
Print Name
STATE OF FLORIDA 1
COUNTY OF
ACKNOWLEDGE BEFORE ME THIS I DAY OF �(� 120
BY I V�l Q1� !✓� J7 WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STAT OF LORIDA,County of
ym.
SHERIFAWHYTE
*; t- MY COMMISSION#FF 065032
EXPIRES:October 21,2017
GNAT OF NOTARY kf, q;:•'SW;ked Thor Notary Public Unde x iters
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75 (renewal fee)
Revised 7/21/2014