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HomeMy WebLinkAboutBuidling Permit PL4ocord ��� GeV All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 61—/I—?, Permit Number: 7�`6 91ro L uycm I O 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 CBDG Funding PERMIT APPLICATION FOR: Address: S0 Cr Z Or/--, �/ (�iv�- �� Property Tax ID#: �1J0 1� • 'C Lot No. Site Plan Name: Block No. Project Name: 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: $ Z,d aC-- Utilities: -Sewer Septic Building Height: SOW ' L SSEE e ON TRACTOR: Name �I�11 i✓ (n-Z�`,rJc' Name: Address: G2 Q ` Company: City: State:_ Address: Zip Code:2�cl-Z- Fax: City: State: Phone No. 3"2 r E- Zip Code: Fax: Mail: �✓CC� Y✓v �1,�,. (Ur^ 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. i 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 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 po to on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an o ey before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF S� Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization this day of &C,*7 20A by Name of person making statement. Personally Known OR Produced Identification ✓ Type of Identification Produced l( (Signature of Notary Public-State of ri ) Commission No. (Seal) HEATHERBURFORD F7,N�'58"d Publicate of Florida NotaryCommission # GG 183217My Commission Expires 2022 REVIEWS FRONT ZONING SUPERVISOR ATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21 Ef�LUM. 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. 1/1G 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.Kc 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. (l-[ 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. V_G 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. V'C 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. V G 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. V(y 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. ign and ac edged on this day of of 20' OwnerBuilder Signature STATE OF FLORIDA COUNTY OF ,'S„ : LAje.6, The foregoing instrument was acknowledged before me this__Z&day of (��.(� ,20 , by who is personally known to me,or who has produced as identification. Signature of Notary U Type or Print Name of Not ) Title:Notary Public Commission uGnTH( R gURF©RD s,State�ot Florid#=Notary Put11ic _• Commission N GQ 183217 My Cpmmission Expires Februsry n8, 20_2 ES ST L fUGINA DEP 2300 VIRGINA AVEA COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728 FT.PIERCE FL 34982 —` ` r FORT PIERCE,FL 34982 —RES NAME 10/11j2021 11:14:16 _M� I CREDIT CARD ACCT.# `, VISA SALE —IRR Gard# XXXXXXXXXXXX5002 XRITY DEP SERVICE ADDRESS (1*Card: VISA DEBIT ?,VICE FEE IJD: A0000000031010 ME DAY FEE SEQ 0: B SUBDIVISION LOT BLOCK_ Bdtd1#: 1743 rERTIME FEE INVOICE 8 TER INSTALL. BILLING ADDRESS Approval Code: 001418 Ent'1 Cho Read �C/WATER Mode: Issuer 6A bFC PHONE# -" ` �S 't MOVE IN/CLOSING DATE 'C/SEWER SALEAMOUNT7,25 This application hereby request and authorizes the Utility to render water and/or sewage disposal JAR.REV. services to the premises described above in accordance with the Utilities present or future rates, XERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and regulations. CUSTOMER COPY )TAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. SOCIAL SEC/ r v FED ID NAME OF SPOUSE AYYY, ,'QL Ak l/t O `61 C'-�",O SE SOCIAL SEC. OFFICE USE ONLY DATE RECEIVED f CASH C>i ( G( RECEIVED BYAD 1, ,r.._-�-'--. ...-::.,:�..*..::,.:s.�u.e.,. �.��_A�. � _:: :.aai...,.i:�au:'�:Z.ut as:: S�::iE."'.•_sv'is.ka"rsi..,_ _-� �e_.'�.laaakau..... ........ —_ ;raew,.�.3id erE ,i::7 i�':�,. l MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4926758 OR BOOK 4688 PAGE 2546, Recorded 09/22/2021 10:31:06 AM Doc Tax: $1813.00 PREPARED BY&RETURN TO: Name: Robin Colvin,an employee of Platinum Title Insurers,LLC Address: 824 US Highway One Suite 260 North Palm Beach,FL 33408 File No.21-0326 Consideration:$259,000.00 Parcel No.:3402-608-0179-000-4 SPACEABOVE 770LREFOR PROCESSWG DATA SPACEABOVE THIS LINE FOR RECORDEvG DATA This WARRANTY DEED,made the 17th day of September,2021,by DIRECT HOME BUYERS LLC,a Florida limited liability company, hereinafter called the Grantor, to AMANDA CUKr O, an unmarried woman, and VINCENT CIMINO,an unmarried man,as joint tenants with the right of survivorship,whose post office address is 5002 Palm Drive,Fort Pierce,FL 34982 hereinafter called the Grantees: WITNESSETH:That the Grantor,for and in consideration of the sum of$10,00 and other valuable consideration, receipt whereof is hereby acknowledged,does hereby grant,bargain,sell,alien,remise,release,convey and confirm unto the Grantees all that certain land situate in County of St.Lucie,State of Florida,viz: Lot 2,Block 45,Indian River Estates,Unit Seven,according to the Plat thereof,recorded in Plat Book 10,Page 75,of the Public Records of Saint Lucie County,Florida. TOGETHER WITH all the tenements, hereditament$ and appurtenances thereto belonging or in anywise appertaining. THE ABOVE-DESCR£BED PROPERTY IS NOT THE CONSTITUTIONAL HOMESTEAD OF THE GRANTOR NOR IS IT CONTIGUOUS TO SUCH. SUBJECT TO TAXES FOR THE YEAR 2021 AND SUBSEQUENT YEARS, RESTRICTIONS, RESERVATIONS,COVENANTS AND EASEMENTS OF RECORD,IF ANY. TO HAVE AND TO HOLD the same in fee simple forever. And the Grantor hereby covenants with the Grantees that the Grantor is lawfully seized of said land in fee simple, that the Grantor has good right and lawful authority to sell and convey said land and that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever.Grantor fimther warrants that said land is free of all encumbrances,except as noted herein and except taxes accruing subsequent to December 31, 2020 . IN WITNESS WHEREOF,the said Grantor has caused these presents to be executed in its name and its corporate s i lobe hereunto affixed by its proper officers therennto duly authorized,the day and year first above written. Si ed seal d d4,red in the presence of.- DIRECT ME BUYERS C (((mess Lure rintedName: 2)Y) 1n // ) By L.S. Name: C.�WF r., Manager Addr .901 Northpoint Parkway,Suite 310,West Palm Beach,FL avl334 Wit Si y Primh Name: STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me by means o �)physicalprwesence or( )online notarization this 17th day of September,2021,by John C.Lewis Jr. name), Manager (title)of Direct Home Buyers LLC,a Flordia limited liability company, on bebalf of the oration. a (she) ersonall wn to me or has produced as identificatio l Sign a ofN '/ Print Name: r My commission expires: EjR0binLyn'0D1vjn MV COm dw nHH 052499 w Eaµtrcg 1 011 1/2 024