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[3 Electrical
❑ Shed
772462114E ST LUC1E COUNTY-
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Fee Due:
Piannin� g� Development Services
Suildiing & Code Regulations Dh7sioa
2300 Virglnla Ave.
Fort Pierce, F.L 34962
SPECYALTY PERMIT APPUCA.TION
Q HVAC ❑ Fence
L7 . inrnbinig Q Gas [3 Siding
p Demolition en►�trs
erwork requl►'ed forspecialty p
seepage 2 for instrucoons and addidonal,paP ' / n ' � �qt47 qE
1. Location/Site Address:
a. Parcel ID Number:
3. Complete Description of Project or Work:
4. Owners Infor�matto�u
Name:
Address: "
City: fQi� C% S te: _am
Zip. c 7iiwwl�ne: _
6. Value of Construction: S
S. Contractors Information
i
FL ReglCert M
County Cert*
i Business Name:
oZ/_ j 4 phone:
3q Q46
that aft of the iom ,foratimro contehad in this apocatign is correct and that all work will• N done in
OWNEWS AFFMAVFr: I My
compliance with all appli ble laws regn ling construction and zoning.
PRINT OWNER 9R CONTRACTOR NADOE SIGNATURE OF O OR CONTRACTOR
v"D' WesfU m-Ani pt c oc-LL
STATE OF PLQRIDA, COUNTY OF t 1 \
ACKNOWLEDGED BEFORE ME THIS � DAY OF 20 I L i.1AY ! l�� u I1 • U�.t jQ�(�
WHO IS PERSONALLY KNOWN TO MEOR WHO HAS PRODUCED !61: R.LK692.0
ZADENT[FICATION
OFFICIAL SEALhs-�z? NOTARYf�t19l.ICTURB OF
NO AR STATE OF NIRGINIA
b� TYPE OR PRINT NAME OF N x.wy C' _ -•
R1 S20�0 * ' 529 Carolina Avenue
COMMISSION ER i 1,� v+ Chester, West Viroftle 66034
w• MY Commission Expires Nov. 29,"
rvar9CL Tp OWNER; FArLURE TO RFCORD A NOTICE OF COMNMNC
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OA'1Ally FINANCnY(;. CONSULT VPrM YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0.nCC "COMMENCEMENT.
EXEMPT: AX-HEAT R,FPLACEWNT WrW CONTRACT UNDER S79OO.49
Revbed 04a6mil)
ST LUME COUNTY
St. Lucie .County
Building & Zoning Department
2300 Virginia Avenue
Fort Fierce, Florida 34982
(772)462-1553
OWM"UILDER.A,FMA,VIT DISCLOSUU STATEMENT
F.S. 489.103 (7) EXEMpTIONS
PAGE 02/02
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, Oo-site supervision of the construction yourself. You
may build or improve farm. outbuildings, a one -family or two-family residence or a commercial building at a cost of
tinder $75,000.00. 'Tire building or residence must be for your own. occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, tlae law will presume that you built or substantialJ.y improved it for sale
or lease, which is a violation of this excrription. 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 Iaw and by county or municipal licensing ordinances. You may not delegate the
responsibility fox supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you; which means that you must deduct F.I.C.A. and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction, must comply with all applicable laws,
ordinances, building codes, and zoning regulations. Initial applicable
K/�
I txuderstaud that the building offi&land inspectors are not there to design or give advice on haw to meet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and• I >' ust be handled
in a civil court with the advice of an attomcy. This department wily, not mitigate any contract disputes. �/
Initial ALL!r
I understand that if I compensate any person or company far 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 -2�
I understand that if any person that is unlicensed and uninsured gets injured on my construction project -
they may be entitled io workmen's compensation. I could be held liable for all doctor, lawyer and related medic
ail
cost, which could include loss of wages during recovery from their injury. Initial x
To qualify for this exemption under this subsection, an owner must personally appear and 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 Departm t to be Florida State Department of professional Regulation. • Signed and acknowledged on this
s. 0 day of of 20
esTU
STATE OF FL A
COUNTY OF C.o<.IZ
The foregoing instrument was acknowledged before me this
by d d CI r-% who is personally
Owner/BuiI Signature
day of
uccV J,%J4AkJt"--J uy=h5eto 9 2-0 as identi5aati.on.
r L. i
rgnature of lvotary a or Print Name of Notaty
Title- ,Mary lDu is Commission N-ber oV Z,r
20 r 2,
NOOTl1�RYLFU"
STATEOFW#WVRGM
- > DENA L.8ENt,Z
. • . sal) g29 Carolina Avowe
Chester. West Vi ghft 2MU
My Commission Expires Nov. 20.2020
7724621148
ST
07/30/2012 09:26
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0 Shed
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planning 8& pctr.el0081Cnt Serve
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❑ HvXC CI'ye>acc
{] pXumlbing a Siding
13 Gas
L] pc�pliltton ciaLty penrlifs
eal erwarArequired fnrape
or it>e�Q�s aid addit7lu ,P� c
seepage z f . --- -- ., . a, A
1. j �OC9Ci0I<ISite Addt'cas:
Z. Fareol Yq Number:
3. Complete pessriptiott of Project or
a. Owncr9 Int'ormatiOOu
Name: —Al—„
5. COntradon lgformadon
/ FLpeglCert#:
A,! County Cert*
J Rusinm Name;
city: T
Lp d 131P Phone: ex•
Zlp_ ne:
6. Value of C0nstrurtion: S
owiveR,s AFFIpAVPI': L t:arcify that all of the ►fnrinutialA contaked is this applicad . is comMa tmd Illat all work will be danc iD i
compiieoce with all appli ble laws rc ring consaucdon mtd zoaft,
PRIMP OWNER CONTRA,CMIt N SIGNAVM OF O OR CONTRACTOR
�)t:6 WeS`U iRC�tw A +1C CC iL
SrATa OF PLQZMA, COUNTY OF
ACKNOWLEDGEDBEFORENETMS 20 (� +.113Y__t_� LG�u h•L3Q+JlC4'i
WHO IS PERSONALLY KNOWNTO ME_OR WHO HM PRODUCIM ��� V � �� h* VCraL4(0,q2-0
DANTIF1 MON, OFFICIAL SEAT.
NOTARY pt191JC
9 NAT OP ND AR TYPEQRPltlN7 NAMEOFx .,.8grr7A,'tf~OF rlik(3INIA
DEINCN1Z .. _,
COMINIS ION % l�3 t1R (ESL ��( Z a2 0 ;'' a 629 CeroMe Avenw
♦� ���• Chester, Went W gInIn 2003�
My Commfealon Expires Nov, 29, 2020
tvaTrckToawri a PAMURE TO RECORD A NOTICE OF COIt�N R
MEROVEMMS TO YOUIt I'ROMRTY. IF YOU aN2M TO OaTAIN RNANCING, CONSULT wrM YOUR
LEMER OR AN ATPOItNEY ORFORE RECORDING YOUR.1NOWCE OF COMMENCEMgMT,
EXEbM.- AIC—IMAT RXMAC>iwx r wlmr C0NTRACC UNDER MOW
tteviaEd eat�tp2oi.n •
Z /Z # 'WH99 B0'Z6-OE-LO
Property Appraiser - St.Lucie Cc, r, FL
Page 1 of 1
Fine Realty Corp Record: 1 of 2
Property Identification
Site Address:
2601 N US HWY 1
Sec/Town/Range:
33 :34S :40E
Map ID:
14/33N
Zoning:
RMH-5
Ownership and Mailing
Owner:
Fine Realty Corp
Address:
%Howard Fein
2601 N US HWY 1
Fort Pierce FL 34946
Sales Information
Date
Price Code
Deed
9/27/2007
1250000 00
WD
1/30/2004
100 01
CT
5/31/2002
100 01
WD
12/18/2000
640000 00
WD
7/1/1985
0 01
CV
11/1/1982
0 01
CV
11/1/1982
350000 00
CV
PROPERTY RECORD CARD
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
ParcellD: 1433-120-0010-000-5
Account #: 11488
Land Use: PRKG/MOBILE
City/Cnty: St Lucie County r
Legal Description
33 34 40 N 358.8 FT OF S 1735.9 FT OF NE 1/4 LYG W OF US 1 AND
BEGAT SW COR OF N 365.8 OF S 1377.1 FT
More...
Assessment 2011 Final Total Land and Building
Book/Page 2011 Final: 566800 Land Value: 526400 Acres: 3.52
2887 / 1212 Assessed: 566800 Building Value: 40400
1890 / 2721 Ag.Credit: 0 Finished Area: 81 SgFt
1637 / 0551 Exempt:
1354 / 0840 Taxable:
0473 / 2240 Taxes: 11531.94
0391 / 0612
0389 / 0597
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
- RoofStruct:
-
ExtType: RVPK- RV Park
YearBlt:
1955 Frame:
-
Grade: C - C
EffYrBit:
1955 PrimeWall:
-
StoryHght: 0010 -1 Story
No.Units:
SecWall:
-
Interior Features
BedRooms: 50
Electric:
- PrmintWall:
-
FullBath: 0
HeatType:
AvgHUFI:
1/213ath: 0
HeatFuel:
- Prm.Fiors:
-
%A/C: 0
%Heated:
0 %Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty.
Units Qua]. Cond. YrBlt.
No. Land Use Type
Measure Depth
ASP1 - ASP1 HIGH Y 1
52000 AV AV 1955
1 2800-PRKG/MOBILE 159 -Site
50
Y 1
5000 AV AV 1955
2 2800-PRKG/MOBILE 520 -Acres
3.52
CNC2 - CONCRETE LOW
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME
BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.pasle.org/pasle/prc.asp?prclid=143312000100005 7/30/2012
ST LUCK COUNTY
St. Lucie.County
Banding & zonlag Department
2300 Virgialx AVEattte
)tort Plorce,);'l AU 34902
(772) 462.15 3
"NERMUILDIA AFMA,VIT DISCLOSURE STATEAfENT
F.S. 489.103 (7) MAQT1011S
PAGE 02/02
State Iaw requires construction to be done by Hransed contractors. you have applied far a pemtit 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, ot,�jte supervision of the construction yourself u
Yo
may build or imptove farm outbuildings, a one-fardly or two-family resideeet or a commercial building at a cost
tinder $75,000.00, This building or resid=c :oust be for your own occupancy. It may not be built or oubstantidly
improved for sale or lease, If you JOU or lease a building you have built or substantially improved your self witbirr
one year alter the comiruction is Complete, d.ja law will presume that you built or substantially imFrovcd it for sale
or lease, which is a violation of tlua exer.0 0", Yon may not (tire 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
bavo lieenoos x quired by stele law and by county or mttC►ioipal lidensing ordinances. You may not delegate the
responsibility for StipCrvXW9 work to a licensed contractor who is not licensed to p&OM the work being done.
Any pcmou working on your building who is not Heeused must work under your direct supervision and must be
employed by you, which meatus that you moat deduct p.I.CiL and withholding tax and provide workers,
cOMPOMdon for dtat employee, all as proscribed by law. Your construction most comply with all applicable laws, 0rdinaaeca, building codes, and zoning regulatiow. Initial ,
I understand that the building obCeial sad inspectors ero not there to design or give advice an how to inCeet
the minimum code. Ifnldal .M�,�
I understand that as an owner buildor that any contract disputes, with sub -contractors and'I must be handled
in a civil court with the advice of an attorney. 'Phis deparlment will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required to be'
licomcd in this jurisdiction. If for some rcasQm they do not post ss a license, I may be responsible and liable for the
ease of the license.
InitialK k
I understand that if any person that is unlicensed and uptloaured gets injuted ou mW construction project -
they may be emitled eo workmen's compensation I could be held liable for all doctor, !awyer and related medic cost, which could include loss of wages during recovery frourtlteir injury. initial
TO quplify for this exemption under this subsection, an owner must pennrtally appear and sigu the building
Permit applteatioq sad initial the above.
I hereby aokrtowlcdge that I have read and andorstand the above disclosure statement and that I firrtber
understand that any violation of the terms of the owncr/buffdar excmptiva shall be reported by the Duildi S and
7.otting Aeparttn r to he Florida State Department of Professional Regulation, 3igrred and aclmowled$ed on this
�Q, day of G of 20 .&&, ,
pLjb
�itnl�
STATE 41:ZrQ4fUDA
COL71M OF c.0'4-V.
'Me foregoing instrument was A060V
byWILMn K • ff)n.nfl r,
Sigbature of Notary
Title: Moran Pub is
dwner/Euil Signature
before me this day
Who isOpersonally IMOM
a �l 2- as identi
,� ,
d)C o! Printt Nanme of Notary
Comcnigsion NWbes_&LQ\)
' Ib
20 f L.
OFFWAALWWAL
NOTARYPUBLIC
$PATEOFtiHl: MRGINIA
r DENAL. BENTZ
' r r cal) 520 Carolina Avenue
" Cheater. West VhylAla 20094
My Commission Expired NW 22. 2020
z /� # 'NV99:80!z6-0e-c0