HomeMy WebLinkAboutBuilding Permit Package All APPLICABL INFQ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
RECEIVE
Building Permit Application JAN 2 6 20 1
Planning and Development Services
Permitting Oepa tment
Building and Code Regulation Division Commercial Residentialst• wee cou ty
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
Address: � � 6v7-e- �� s' pie /`�'l�r;
Property Tax ID#: �� — "� �� CV 3�. �% Lot No.
Site Plan Name: �� Cre t' ��� Ic Block No. VIV
Project Name: %
c- C r Y �=C cnCt
New Electrical Meter Second Electrical MeteK4
i per ICI %
Additional work to be performed under this permit—c ck all that apply: 11
f_Mechanical _Gas Tank —Gas Piping _ tters s Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ),S'�a� v� Utilities: —Sewer —Septic Building Height:
Name / %S Name`
Address: d PL Company:
City: , S?— State:�G Addr ss
Zip Code: *Y`! Fax: City: State:
Phone No. // —d—�64, —110—_ Zip Code: Fax:
E-Mail: �il�/1I''1 GL/� G(r Cam' Phone No
Fill in fee simple Title Holder on next page (if different' E-Mail
from the Owner listed above) State or County License
If value of conWuction 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 MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMP ITL HOLDER: Not App� licable BONDING COMPANY: _Not Applicable
Name: Z C�irM�i/�f Name:
Address: u Address:
City: Ste. City:
Zip: Phone: 2 — 2S Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 appli ns are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming po�I,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 roperty. A Notice of Commencement must be recorded in the public records of St.
Luci ounty posted n the jobsite bef re the first inspection. If you intend to obtain financing, consult
with le er o n attorney before commehicing work or recording our Notice of Commencement.
Signature of Owner Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA( STATE OF FLORIDA
COUNTY OF r COUNTY OF
VSw n to(or affirmed)and bscr'ed before me of Sworn to(or affirmed)and subscribed before me of
Physical Prese� or Online Notarization Physical Presence or Online Notarization
this day of 2� by this day of 20_ by
I
Name of person makin tatement. Name of person making statement.
Personally Known OR Produce Identification� Personally Known OR Produced Identification
Type of Ider t- n Type of Identification
Produced Produced
r >= 'E.•. FE NANDO BETANCOURT
u is— ate o on a
7J' n
Notary Public 5ta I lor7' (Signature of Notary Public-State of Florida fission z GG1940,041yCo m.Expires Mar 11,2022Commo. `I (B�ndedt IJ National Notary Assn. Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISO_R PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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
with lender or an attorney before commencing work or recording our Notice of Commencement.
(2/1__ I
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF i0r_ L�c�-� COUNTY OF
Sworn 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
this "a�day of ��.`� 20131`l by this day of 20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Typ of Identifigtion Type of Identification
Pro u ed L, Produced
(Sig ture of Nota P I' (Signature of Notary Public-State of Florida)
Ivry
Y?gg; LASHAHNAINGRAM-RAHMING
Commission No. '�� OMMISSI($ 1 G275060 Commission No. (Seal)
*:
=a• o: EXPIRES:December 20,2022
-�rFode��c. Rnnded N NotaryPublic Underwriters
b'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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:
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
New Electrical Meter Second ctrical Meter
Additional work to be performed under this permi check all that apply:
_Mechanical _Gas Tank —Gas Pi in _Shutters- _Windows/Doors _Pond
_Electric _Plumbing _Spr' klers _Generator _Roof Pitch
Total Sq. Ft of Construction: Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer _Septic Building Height:
Name Name:
Address: Company:
City: State:_ Address:
Zip Code: x: City: State:
Phone No. Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title older on next page (if different E-Mail
from the Owner list above) State or County License
If value of constructio, 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.
'ALL BEARINGS SHOWN HEREON REFERENCED THERETO r, CA
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O Planning&Development Services Department
• . Building&Code Regulations
2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT
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.
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. TQ
Initial Here.
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.
Initial Here.
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 all applicable laws, ordinances, building codes, and
zoning regulations. / Initial Here.
I understand that the building official and inspectors are not there to design or give advice on how to meet the
minimum code. Initial Here. I
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 Here.
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 liable for the cost of the
license. Initial Here. j, t/
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 related medical cost, which
could include loss of wages during recovery from their injury. Initial Here.
To qualify for this exemption under this subsection, an owner must personally appear, 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 exemption shall be reported by the Building and Zoning
Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of 20_
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STATE OF FLORIDA
COUNTY OF 5)C. \.1,) c��
e foregoing instrument Was acknowledged before me this�C day of �°+Y ,20a
y _"�� ��� �� who is personally known to me,or who has
r uce as identification.
ig ature of Notary Type or Print Name of Notary (Seal)
u is Commission Number
;=o Yegs4" LASHAHNAINGRAM-RAHMING
*: 01-
*_ MY COMMISSION#GG 275060
EXPIRES:December 20,2022
Bonded Thru Notary Public Undemiters
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4806780 OR BOOK 4540 PAGE 2187, Recorded 01/20/2021 09:03:52 PM Doc
Tax: $1106.00
Prepared by:
Michele L.Chardt
Arrow Title Services,Inc.
1 I I I SE Federal Hwy,Suite 332
Stuart,Florida 34994
File Number: 2020-512
Warrant/Deed
Made this January 15,2021 A.D.By AHMED GONI,a married man,whose address is:748 Carlisle Road,Jericho,New York 11753,
hereinafter called the grantor,to ELA CHIME LIS,a married woman,whose post office address is: 7408 Laurels Place,Port St.Lucie,
Florida 34986,hereinafter called the grantee:
(Whenver used herein the tomt'gmnlor"and"gmnux"include all the parties to this inslmmcnt and the heirs,legal representatives and assigns or
individuals,and the successors and assigns orcorporations)
Witnesseth,that the grantor,for and in consideration of the sum of Ten Dollars,($10.00)and other valuable considerations,
receipt whereof is hemk acknowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the grantee,
all that certain land situate In St.Lucie County,Florida,viz:
Lot I,Block 44,River Park-Unit Five,according to plat thereof as recorded in Plat Book 11,Page 31,of the Public Records
of St.Lucie County,Florida.
Parcel ID Number 3419-540-0039-000-6
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining,
To Have and to Bold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized ofsaid land in fee simple;that the grantor
has good right and lawful authority to sell and convey said land;that the grantor;hereby fully warrants the title to said land and will defend
the same against the lawful claims of all persons whomsoever,and that said land is fiee of all encumbrances except taxes accruing
subsequent to December 31,202 1.
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
Sip:: ;..soakd.andddAw-edinc::^presence:
(2:reprrrarrr,r ter arties) _
- �eal)
WMHdssQM-15 I1 rs�1C4P11
W'tness 1.1iY1Md r �- Address: 748 Carlisle Road,Jericho,New York 11753
V RildssQ,2-15
Wiluess Prinled Name
State of Florida
County of Martin
The foregoing instrument was acknowledged before me by means of( ]physical presence or[x]online notarization,this 15th day of
January,2021,by AHMED GONI,a married man,who istare personally knnwn.tn_me(wwhn hns_nmrinre-d
as identification.
(SEAL) Notary Public
up_q wm,.t_.0
1` �4,*j.� MICHELE L CHARDT
21S Natary PobGc-Stateof R.dda
r=
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Feb. 17, 2023
DEED Individual warranly Deed-Legal on Pace
1/29/2021 Building,Zoning&Permitting
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Page 1
PROPERTY INFORMATION
Address: 185 Estia Ln Owner(s):
Ela Chimelis
City/State/Zip: Port St. Lucie, FI 34983
Parcel#: 3419-540-0039-000/6 Jurisdiction: SAINT LUCIE COUNTY
Zoning: RS-4 Lot#: 1 Block: 44
APPLICATION INFORMATION
Permit Number: 2101-0563 Stories: Automatic Sprinkler System? No
Permit Type: FENCE- RESIDENTIAL RECEIVED
CONTRACTOR INFORMATION MAY 11 2011
Contractor Name: m;rmittirg D'�partment
St. Lucie County Fax Number:
Business Name:
Business Addr: Email:
City/State/Zip:
REVIEWS AND COMMENTS
Review Type Status Reviewed By Date Started Date Completed Date Released
FRONT COUNTER REVIEW COMPLETE Deanna Givens 1/26/2021 1/2612021 1/26/2021
Comment:
NOTIFIED FOR PICK UP PENDING
Comment:
ZONING REVIEW INCOMPLETE Lydia Galbraith 1/28/2021
1/28/2021 Comment: NOT CLEAR WHERE FENCE IS GOING.ACCORDING TO RECORDS ESTIA LN IS FRONT.PROPERTY IS NOT
A SQUARE.PLEASE PROVIDE A COPY OF A SURVEY AND ADD THE LOCATION OF THE FENCE.
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Michelle Franklin, CFA-- Saint Lucie County Property Appraiser--All rights reserved.
Property Identification
Site Address: 185 ESTIA LN Use Type:0100
Sec/Town/Range:28/36S/40E Account#:42716
Parcel ID:3419-540-0039-000-6 Map ID:34/28N
Jurisdiction:Saint Lucie County Zoning:RS-4 Count
Ownership 3 � r
l vM.
s
Ahmed Goni
748 Carlisle RD
Jericho,NY 11753-2603
Legal Description s:
RIVER PARK-UNIT 5 BLK 44 LOT 1(MAP 34/28N)(OR 3421-27;4069- -
2858
t
Current Values
Just/Market Value: $113,400
Assessed Value: $113,400 t
Exemptions: $0
Taxable Value: $113,400
Total Areas
Property taxes are subject to change upon Finished/ClnderAir(SF): 1,472
change of ownership.
Gross Sketched Area(SF): 2,590
• Past taxes are not a reliable projection of future taxes. Land Size(acres): 0.36
• The sale of a property will prompt the removal of all
exemptions,assessment caps,and special classifications. Land Size(SF): 15,600
Taxes for this parcel: SLC Tax Collectoes Office❑ B u i I d i ng Design Wind
Download TRIM for this parcel:Download PDF❑
Speed
Occupancy Category'I 11 III&IV
Speed 140 1160' 160
Sources/links: —-- „-- — --
Sale History
Date: Nov 30,2017
Book/Page: 4069/2858
Sale Code: 0111
Deed: QC
Grantor: Gani Mohammed
Price: $100
Date: Jul 18,2012
Book/Page: 3421/0027
Sale Code: 0112
Deed: SP
Grantor: Federal National Mortgage Assoc
Price: $49,900