HomeMy WebLinkAboutRichardson Davis permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s� c Ca
m; .. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:�—
Address: c;L 9 Q (o
Property Tax ID #: c-2 �(Ds - SC) IL `do(o`1
Site Plan Name:
Project Name:
ILEA DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter_
'CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters -�,- Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Q
Cost of Construction: $ 1Utilities: —Sewer —Septic
Building Height:
Name S��_kAlcl�y\ Name: < 0PA- t,41A
Address: Company:
City: L State:i6. ' Address: _
Zip Code- Fax: City: �� Stater. -
Phone No. Slo- "IS( Zip Code: J4
JJ Fax:
E-Mail: Phone No �I77-
Fill in fee simple Title Holder on next page ( if different E-Mail8 c. r\
from the Owner listed above) State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip: —
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to cio the worK ana insiananon as mU1Ld ICU.
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 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 paying twice for
improvements to your property: A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
I_ -_ _ .._.., w,.c,,.,, —nnrina %kind, nr rarnrrlinu vni,r Notice of Commencement.
WIUI ICHU 1 UI do ALLVIiic v.n......... .......
ZA11--l"CAt
_... -- -
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of-Contractor/License Holder
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF
COUNTY OF Ste•
Sw rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
2021D by
this � day of 202* by
this > day of
Name of person making statement.
Name of person making statement.
Personally Known_ OR Produced Identification
Personally Known _� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
KAQ!`- ` R
5` i ature of Notary Public- State of Flo'. '. '� MYCOM.1SSI^N#G
(Signature of Notary Public- S
t c • :Cxida) �R
# GG 23
Commission No.
MY COMMISSION
=m''o SeaIXPIRES:Augus15,20
_ 4 �,t 5,
fission No. 3 5 :( eal) �(pIRE.:. ''°�
- No;.' °�Ciic
Bonded Thru Notary Public uncle
Bonded Thy
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/ b/ LU
American Land Title Association ALTA Settlement Statement
Adopted 05 - 01 - 2015
Mortgage Connect
File No./Escrow No.: 1175501 Services LP
Print Date & Time: 11/24/2020 4:01:26 PM 260 Airside Drive
Moon Township, PA
15108
Settlement Location: 2101 VISTA PARKWAY WEST PALM BEACH, FL 33411
Property Address: 2906 AVE R FORT PIERCE, FL 34947 Purpose: Purchase
Loan Number: 47685568-CASH
Buyer: JAMES RICHARDSON
MIC Number:
License Number: P183855
Seller: ATLANTICA, LLC
2003 WESTERN AVE STE 340 SEATTLE, WA 98121
Lender:
Settlement Date: 11/25/2020
Disbursement Date: 11/25/2020
Seller
vescrip ion 0V11 k#WWWI
Debit
Credit
Debit
Credit
Financial
$150,000.00
Sales Amount
$150,000.00
Loan Amount
Deposit
$3,000.0(
Proration/Adjustments
$188.20
County Taxes from 11/25/2020 to 12/31/2020
$188.20
Title Charges & Escrow / Settlement Charges
$950.00
Settlement Fee to Mortgage Connect, LP
$650.00
$225.00
Title -Title Search to Mortgage Connect, LP
$50.00
Title - Update to Mortgage Connect Services LP
Title - Update to Mortgage Connect, LP
$50.00
$20.00
Title - Wire Transfer to Mortgage Connect, LP
$825.00
Title - Owner's Policy (optional) to Mortgage Connect, LP
Agent's portion of the total title insurance $577.50
Underwriter's portion of the total title insurance $247.50
Commission
$2,825.00
Real Estate Commission ($3,000 less $175 Offer mgmt fee) to
1 BUCCANEER REALTY GLOBAL
Copyright 2015 American Land Title Association. File# 117550
All rights reserved. Page 1 of 2 Printed On 11/24/2020 4:01 A PM
nacerintinn Borrower
Debit
Credit
Debit
Credit
$4,325.00
Real Estate Commission ($4,500 Less $175 offer tech fee) to
PINNACLE REAL ESTATE GROUP
Government Recording and Transfer Charges
$141.00
Recording Fees
$53.50
$1,050.70
Deed State Tax to St. Lucie County Clerk of the Circuit Court
Miscellaneous
$1,863.08
2020 Open County Taxes (Parcel # 2405-501-0067-000-4) to
ST LUCIE COUNTY TAX COLLECTOR
$130.00
FL Lien Search to Skyline Lien Search
$350.00
Management Fee to Pyramid Platform
Seller
Borrower
Debit
Credit
Debit
Credit
$12,754.78
$150,188.20
Subtotal(s)
$150,941.70
$3,000.0C
Cash Due From Borrower
$147,941.70
$137,433.42
Cash Due To Seller
Acknowledgement
This form does not replace the Closing Disclosure Form provided by your lender and governed by
the CFPB. All fees displayed are a representation of proposed disbursements by Mortgage Connect
Services LP. Mortgage Connect Services LP is solely responsible for the accuracy and
completeness of the data on this form.
We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate
statement of all receipts and disbursements made on my account or by me in this transaction and
further certify that I have received a copy of the ALTA Settlement Statement. Weh authorize
Mortgage Connect Services LP to cause the funds to be disbursed in accordance with this statement.
Buyer: JAMES RICHARDSON
Seller: ATLANTICA, LLC
Copyright 2015 American Land Title Association. File# 117550
All rights reserved. Page 2 of 2 Printed On 11/24/2020 4:01 A PM
Florida Insurance Premium Disclosure & Settlement Agent Certification
Agency File # 1175501
Closing Date: 11 /25/2020
You are being given this form and certification to explain differences between federal and Florida law. Federal law equires
the costs of the policies to be calculated using the full premium for the lender policy. Florida law allows the premium for
the lender's policy to be calculated using a lower rate when purchased along with an owner's policy.
If both an owner's policy and a lender's policy are being purchased, the title insurance premiums on this form might differ
from the premiums on the Closing Disclosure. The owner's policy premium listed on the Closing Disclosure will probably
be lower than on this form, and the lender's policy premium will probably be higher.
The chart below lists the amounts disclosed by the lender and the premium for the policies being purchased. These
amounts include the charges for endorsements to the policies:
Closing Disclosure Amount
Florida Premium
Buyer Seller
Buyer Seller
(a)
Lender's Policy:
$0.00
$0.00
$0.00
$0.00
(b)
Lender's Endorsements:
$0.00
$0.00
$0.00
$0.00
(c)
Lender's Policy Total:
$0.001.
$0.001
$0.00
$0.00
(d)
owner's Policy:
$0.00
$825.00
$825.00
$0.00
(e)
owner's Endorsements:
$0.001.
$0.00
$0.00
$0.00
(f)
owner's Policy Total:
$0.00
$825.00
$825.00
1
$0.00
Total All Policies ( c + i):
$0.00
$845.001
$825.00
$0.00
The total dollar amount for the policies as disclosed on this form should be equal to the total premium calculated using the
Florida Insurance Code. The Florida Premium amounts listed above will be used to disburse the funds from the title agency's
escrow account to WFG National Title Insurance Company and Mortgage Connect Services LP.
The undersigned hereby certify that they have carefully reviewed the Closing Disclosure or other settlement statement
form, and they approve and agree to the payment of all fees, costs, expenses and disbursement as reflected on the Closing
Disclosure or other settlement statement form to be paid on their behalf. We further certify that we have received a copy
of the Closing Disclosure or other settlement statement.
Buyer/Borrower Signature Date Signed Seller Signature Date Signed
Buyer: JAMES RICHARDSON Seller : ATLANTICA. LLC
Buyer/Borrower Printed Name Seller Printed Name
I Settlement Agent Certification I
I have reviewed the Closing Disclosure, the settlement statement, the lender's closing instructions and any and all other forms relative to the
escrow funds, including any disclosure of the Florida title insurance premiums being paid, and I agree to disburse the escrow funds in
accordance with the terms of this transaction and Florida law.
Settlement Agent Signature
Mortgage Connect Services LP
Settlement Agent Name
Mortgage Connect Services LP
Title Agency Holding Funds
Date Signed
P183855
Florida License Number
P183855
Florida License Number
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Foa_i ur nna c o r
L v
TrtaiUtt Co(}pt�e Sprt�st st
st Garage
Name t a
UPS
Doors & More of the Treasure Coast, Inc.
837 S King's Highway
Ft. Pierce, FL 34945
P: (772) 409-4501
F: (772) 252-4633
www.doorsandmoretc.com
QUOTE.
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Q�- -e-c-
Address City
Street
E-mail }---
Phone Or",
Door Size �x / Model f fl 1 f dlftWid
Ait
Color, h_ i e Almond Brown Oak Cherry $ a
ear Out' �— $
Insulation
2 X 6 PT Jambs
Operator
Remotes
KeyPad
1� 3 Rail: 7 F Ft
Re hook-up to existing motor: -� Yes
Trim: Yes No
d— —
Add
itional Notes: V__� A
FFM
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Permit
li�e v",ko L) -e qj1- Subtotal
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C
Bala e
Accepted by Customer J Date
Signature
$
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