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Home My WebLink AboutOwner Builder Affidavit NO zn � �NT 4 �.NO : ait a a �neh oa leusrco>�eco. � � r. ��& , .x � �a.:+se z "a`' 'za"E' " a a ._ "...._ ! =fipple Bmg Google Yahoo Favorrtes Lender Ban anks NCLC r wTwo Credit ctor Of Credit Governmen vDeals coma NATIVE AM NlZATIONS ••r mail-attachment.googieusercontent com/attachment/u/o/sl?view att&th 3 RECEIVED IN THE CIRCUIT COURT OF THE NINTEENTH JUDICIAL CIRCUIT, FEB 13 2019 IN AND FOR ST.LUCIE COUNTY, FLORIDA ST. Lucie County, Permitting File No.2018-CP-001168 Division:Probate IN RE:ESTATE OF LONNIE OTIS DAVIS, Deceased. ORDER APPOINTING PERSONAL REPRESENTATIVE On the petition of La Sona Dee Hayes for administration of the estate of Lonnie Otis Davis,deceased,the Court finding that the Decedent died on November 8,2015 and that La Sonna Dee Hayes is entitled to appointment as Personal Representative by reason of the facts set forth in the Petition for Administration filed September 21,2018,and that there are no beneficiaries or surviving spouse,it.is ADJUDGED,that LA SONNA DEE HAYES is appointed Personal Representative of the estate of Decedent,and that upon taking the prescribed oath,filing designation and acceptance of resident agent,bond having been waived by all known beneficiaries,letters of administration shall be issued. ORDERED on January 7,2019. Circuit Judge r. Filing# 78214732 E-Filed 09/21/2018 07:54:13 AM IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, RECEIVED IN AND FOR ST. LUCIE COUNTY, FEB 13 2019 FLORIDA ST. Lucie County, permitting File No. 562018CP001168AXXXHC Division IN RE: ESTATE OF LONNIE OTIS DAVIS , Deceased. PETITION FOR ADMINISTRATION Petitioner alleges: 1. Petitioner,La Sonna Dee Hayes,whose address is 518 Emerald Street, Harrisburg,PA 17110, has an interest in the above estate as the assignee of the only known creditor of the Decedent. 2. Decedent, Lonnie Otis Davis,whose last known address.was 168 Imperial Way, Ft. Pierce,Florida 34951,and, if known,whose age was 65 and whosd social'§ecurity number is -,died on November 8,2015 at St. Lucie County, Florida,and at the time of death was domiciled in St. Lucie County, Florida. 3. So far as is known, the names of the beneficiaries of this estate and the Decedent's surviving spouses, if any,their addresses and relationship to the Decedent,and the dates of birth of any who are minors,are: Name &Address Relationship Date of Birth(if Minor) None St. Lucie County File Date: 09/21/2018 09:42 AM 4. Venue of this proceeding is in St. Lucie County because Decedent was domiciled in St.Lucie County when he died and continuously for more than two years prior to his death. 5. La Sonna Dee Hayes, as assignee of a judgment debt in the approximate amount of$20,000 due to Decedent's former wife,whose address is 518 Emerald Street,Harrisburg, PA 17110, and who is qualified under the laws of the State of Florida to serve as Personal Representative of the Decedent's estate is entitled to preference in appointment as Personal Representative because she has no disqualifying factors and there are no known Beneficiaries of Decedent's estate. b. The nature and approximate value of the assets in this estate are;real estate worth approximately$20,000. 7. The estate will not be required to file a federal estate tax return 8. After the exercise of reasonable diligence, Petitioner is unaware of any unrevoked will or codicil of Decedent. INTENTIONALLY LEFT BLANK St. Lucie County Fife Date: 09/21/2018 09:42 AM 9. Petitioner requests that she be appointed as Personal Representative of the estate of Decedent. Under penalty of perjury, I declare that I have read the foregoing, and the facts alleged are true,to the best of my knowledge and belief Signed on /D X018_ Jeffrey M. Siskind, Es uire La Sonna Dee Hayes Attorney for Petitioner Florida Bar No. 13874 33465 Santa Barbara Drive Nellington,FL 33414 Tel: 561 791-9565 STATE.OF_'A _ COUNTY OF_:MAAPI+i — SWORN TO AND SUBSCRIBED TO before me this 2S day of August,2018, by LA SONNA DEE HAYES,who is personally known to me/who produced } as identification. (SEAL) 2 Notaarrblic COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL RICKEY C SHOOP NOTARY PUBLIC HARRISBURG CITY DAUPHIN COUNTY MY COMMISSION EXPIRES MAY 29.2021 St. Lucie County File Date: 09/21/2018 09:42 AM F Planning&Development Services Departm ant Building&Code Regulations RECEIVED o a 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 FEB 13 2019 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT ST. Lucie County, Permitting F.S.489.103(7)EXEMPTIONS State law.requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you,as the.owner of your property,to act as your own contractor even though you do not have a license. You must provide direct,on-site supervision of the construction yourself. You may build or improve farm outbuildings, a one-family or two-family residence for your use and occupancy. You may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy.You may not build or improve said structures for the purposes of selling or leasing that building. If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Your construction must comply with•aff appli1�� laws,ordinances,building codes,and zoning regulations. I6itial 1 �� I understand that the building official and inspectors are not there to design or give advice on how to eet the minimum code. Initial I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled in a civil'court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license,I may be responsible and liab for-th -'cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction project- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate medical cost,which could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection,an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemfttiort_shall_be reported by the Building and Z Departure to the Florida State Department of Professional'IFegulation. Signed d-acknowledged on this ng day of of 20 �� J erBuilder Signatu �/�,0 oo STATE OF FLO A COUNTY OF The foregoing instrument was acknowl9dged before me this J,& day of ,2019 V by LP��(''j N I(�I Y� �E FC, kv w.S who is personally known to me,or who has J � produced Dom^ as identification. Signature of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission Number SLCPDSD Revised 05/15/2014 ,,111111,, KAREN S. N I E LS E N P(, `<FyIY B�i ==o state of Florida-rotary Public *_ Commission # GG 207484 =� s My Comrnission Expires jOF F��I� June '12, 202 F 1111111