HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
SEP 16 2021
L` `1 Building Permit Application St.woleGaenty
Planning and Development Services Perrtjit�rig
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: —�
PROPOSED IMPROVEMENT LOCATION: j
Address: �'3 41 �f i n i�1-G lrcle 62rt Pie✓C- [1 4q i
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:_
DETAILED DESCRIPTION OF WORK:
I
U CAI Uw. -kAe e y ..i-t o b In �f. -3 as 4-(S 4
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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:
Cost of Construction: $ S D(2O. 06 Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name tyl oyx ICCL iI Name: AA0jA1CcL, 6)1,�I2r
Address: 3-2S4( Tj-�y�C(rf IC Company:
City: a Vt 01 LV[A State: V4- Address: 33 L11 -rV rn±U C I y( Lt
Zip Code: 34 Fax: City: F�)Yt- n,ev(,t— State: 1-1._
Phone No. (6 4kld i3cl Zip Code: 34514 5- Fax:
E-Mail: "OA, q?y (F° 0'alul l.col-A Phone No
Fill in fee simple Title Holder on next page( if different E-Mail 9 t qe y 1'P Q MA I� C n✓'^
from the Owner listed above) State or County License �n
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA �(
COUNTY OF t�
i
Sworn to(or affirme and subscribe bef a me of ✓ Physical Presence or Online Notarization
this�day of 20 by
Name of person making statement.
Personally Known OR Prod.Wced Identification
Type of Identification Produced
Signature of Notary Pu . -State of Florida)
=HEATHERHER SURFORDCommission No. (Seal) Florida r4otary Publicission #CC 183217mmission Expires ,ruary 0g, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
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.
Initial Here. `M—
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. 74
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. n
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.71/�-
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:.
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 finther 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 2Q&.
Owner/Builder Si a e
STATE OF FLORIDA
COUNTY OF_-2 - 1-00i e
The foregoing instrument was acknowledged before me this Jjo day of 2q�,
by who is personally known to me,or who has
produced as identification.
me
ignature of Notary Type or Print Name of tarygoo
r i public
Title:Notary Public Commission Number �a 832��i(9Sion 207 08 2
MICH �
b ��� �ELE ��
4: F AM Dad T*xt
$17 .10
Prepared By and Return To:
Lisa Hunt
DHI Title of Florida,Inc.
1430 Culver Drive NE
Palm Bay,FL 32907
Order No.: 105-212500729
Property Appraiser's Parcel I.D.(folio)Number:
2327-502-0089-000-8
Sales Price: $246,240.00
Documentary Stamps:$1,724.10
SPECIAL CORPORATE WARRANTY DEED
THIS SPECIAL CORPORATE WARRANTY DEED is made this 26th day of August,2021 by D.R.
Horton,Inc.,a Delaware corporation, hereinafter called Grantor,and whose address is 1430 Culver Drive
NE, Palm Bay, FL 32907, to Monica Ann Geyer, an unmarried woman, hereinafter called Grantee and
whose address is 3341 Trinity Circle,FT Pierce,FL 34945.
(Whenever uded herein the term"grantor"and"grantee"include all of the parties to this instrument and
the heirs,legal representatives and assigns of individuals,and the successor and assigns of
corporations.)
WITNESSETH:
THAT the Grantor,for and in consideration of the sum of Ten and No/100($10.00)Dollars and
other valuable considerations, in hand paid by the Grantee,the receipt whereof is hereby acknowledged,
has granted,bargained,and sold to said Grantee,the following described land situated,lying and being in
County of Saint Lucie,State of Florida,to wit:
Lot B1,Creekside Plat No.4,being a Replat of Creekside Plat No 3,in Plat Book 69,Page 30.according
to the plat as recorded in Plat Book 85.Pages 5 through 9,inclusive,of the Public Records of St.Lucie
County,Florida.
SUBJECT TO Covenants,Conditions,Restrictions,Reservations,Limitations,Easements and
Agreements of Record,if any.
SUBJECT TO taxes accruing subsequent to December 31,2020.
TOGETHER with all the tenements,hereditaments and appurtenances thereto belonging or in
anywise appertaining.
AND the said Grantor does hereby fully warrant the title to said land,and will defend the same
against the lawful claims arising by and through or under the Grantor.
TO HAVE AND TO HOLD the same in Fee Simple forever.
IN WITNESS WHEREOF,the Grantor has caused this instrument to be executed in its name by
its duly authorized officer(s)and caused its corporate seal to be hereto affixed the day and year first above
written.
Sign ,seale anc(delivered irl UCesence of:
' D.R.f Orton,Inc.,a Delaware corporation:
VVItitesi SAjiature
1(21t11p�p(tpVyg{V William R Batson,Assistant Secretary
rinted Na o Firs Witness
Witne ature
Lisa M Hunt
Printed Name of Second Witness
STATE OF FLORIDA
COUNTY OF BREVARD
The foregoing instrument was acknowledged before me,by means of/ physical presence or_
online notarization,this 26th day of August,2021,by William R Batson,Assistant Secretary of D.R.
Horton,Inc.,a corporation existing under the laws of the State of Delaware,on behalf of the corporation.
He/ is personally known to me or has produced a driver's license as identification.
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