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Home My WebLink AboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: Permit Numbed r 7"� RECEIVED SEP Building Permit Application St.Luc 6 2021 Planning and Development Services Permitting County Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: ter °lP h uqo .S1. Ff Pi`f-eC'-e, F1, Property Tax ID#: Lot No. Site Plan Name: Block No. . Project Name: DETAILED DESCRIPTION OF WORK: 2� u �- c a l by-\ 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:$C5�a0' Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: e Name Cep in Name: Address: J'VJ'6 4wo Company: P Y= City:. 10i er'e-e- StateA Address: Zip Code: 3 Y 9n Fax: City: State: Phone No. E- Zip Code: Fax: Mail: AJ��r3ig,&C 3 Q Uaj), 6901 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 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: X Not Applicable MORTGAGE COMPANY: �L 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 conflicts with any.applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Homeowners 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 a".ttqrney before commencing work or recording our Notice of Commencement. Signature f Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sworn to(or affirm d)and subscribed before me of Physical Presence or Online Notarization this day of 20Z by Name of person making statement. Personally Known OR Produced de tification Type of Identification Produced (Signature of Notary Publi State of Florida) HEATHER BURFO Pblic ♦ PY AU/4 State of Florda- otar/ u Commission No. (Seal) -'_� •= Commission#GG 183217 =• My Commis 06n Expires ,OFF February REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev5/20/21 O Planning&Development Services Department • •- _ Building&Code Regulations 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OWNER/BUILDER 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. 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 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. 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 Z9}mg Department to the Florida St5p Pepartment of Professional Regulation. Signed and knowledged on this/ day of of 20 Pr Owner/Builder Signature STATE OF FLORIDA COUNTY OF 5��--�/ /// The foregoing instrument was acknowledged before me this `6 day of ,20 Z/, by who is personally known IF to me,or who has produced TL as identification. HEATHER BURFOP Dlic Notay ,.state of Flori a- r 183217 Signature of Notary Type or Print Name fission # GG of Notary =* lj� ommission Expires Title:Notary Public Commission Number ��;;,OF l�� Yp®bruary 06. 2022 MICHELLE R.MILLER.CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY Prepared b and Return t0: FILE#4904750 oa1052021 12:59:31 PM DEED P Y OR BOOK 4660 PAGE 2982-2983 Doc Type: Starfish Title Agency,LLC RECORDING:$18.50 Steven B.Sarkin Doc Tar:$2430.40 34 SE Osceola Street Stuart,Florida 34994 Our File Number:21-S-213 For official use by Clerk's office only. STATE OF FLORIDA ) SPECIAL WARRANTY DEED COUNTY OF ESCAMBIA ) (Corporate Seller) THIS INDENTURE,made this July 30,2021,between Adams Homes of Northwest Florida,Inc.,a Florida corporation,whose mailing address is:3000 Gulf Breeze Parkway,Gulf Breeze,Florida 32563,party of the first part, and Kendall F.Smith and Judy A.Smith,husband and wife,whose mailing address is:5456 Lugo Street,Fort Pierce,Florida 34951,party/parties of the second part, WITNESSETH: First party,for and in consideration of the sum of TEN AND NO/100 DOLLARS($10.00)and other valuable considerations,receipt whereof is hereby acknowledged,does hereby grant,bargain,sell,aliens,remises,releases, conveys and confirms unto second party/parties,his/her/their heirs and assigns,the following described property,towit: Lot 1,Block 1,Waterstone-Phase One,according to the Plat thereof,as recorded in Plat Book 52,at Page 35,of the Public Records of St.Lucie County,Florida. NOTE:Corporate Resolution authorizing execution of this deed is-recorded at OR Book 3585 Page 2645 in the Public Records of Saint Lucie County,Florida. Subject,however,to all covenants,conditions,restrictions,reservations,limitations,easements and to all applicable zoning ordinances and/and restrictions and prohibitions imposed by governmental authorities,if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. AND the party of the first part hereby covenants with said party of the second part,that it is lawfully seized of said land in fee simple: that it has good right and lawful authority to sell and convey said land; that it hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by,through or under the party of the first part. DEED-Special Warranty Deed-Corporate IN WITNESS WHEREOF,first party has signed and sealed these present the date set forth on ) Signed,sealed and delivered Adams Homes of Northwest Florida,Inc.,a Florida in the presence of: corporation By: 0-114 /V'61� Witness signatur Don Adams,Chief F' ancial Officer, Michael Swenson as Authorized Agen Print witness name Witnessi nature ga�i n �,�ta _ (Corporate Seal) Print witness name State of Florida County of Escambia The foregoing instrument was sworn to subscribed and acknowledged before me by means of[-I-P'h'ysical presence or[J online notarization this�C i - day of Lt r Li a-1 by Don Adams,Chief Financial Officer,as Authorized Agent of Adams Homes of Northwest Florida,Inc.,a Florida corporation on behalf of the corporation. He/She is personally known to me or has produced as identification. Notary Public Michael Swenson Print Notary Name My Commission Expires: Notary Seal MICHAEL.J SWENSON MY COMMISSION#HH 042457 ;=5 EXPIRES:September 14,2024 c:';°"• Bonded_ Thm Nozy Pave iUnd_wri— DEED-Special Warranty Deed-Corporate