HomeMy WebLinkAboutSUBMITTED PAPERSDate: 61tkTfee Due: -- I I Receipt# ; rmit #
Ql�
Planning & Development Services
Building & Code Regulations Division SC
ANNeri
2300 Virginia Ave. 61"?
Fort Pierce, FL 34982 �`l
(772)462-1553 fir' uCle ccxl ("
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperworA regnired for specialo permits
1. Location/Site Address: 3\ 8 jp] \„ j hw-nc ., PS)-, V-Z 3 t49 52
2. Parcel ID Number: J `11 `- -5 � 0- 0 aS I 9 ()0 )S7
To-=sMp
Range
flap Page
ring
Land Use
Initials
Office Use
Section
Only
3.
4. Owners Information �i� h ' 1`%T5�'1 5. Contractors Information
Name: CA-NFL Reg/Cert #:
Address: 3 \ g \ �V .Q County Cert#:
City: State: ��., 'B'usiness Name:
Zip: L� l Phone: I 1 -�>�iO3 . s. 7 - 3 U)1 o� �'
6. Value of Construction: $
.wctri)
OIVNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compliance with all applicable la�gulatite/onst ion and zoning.
D-4
PRINT OWNTER OR C0-NTRACTOR NAME r SIGNATURE OF OWNER OR CONTRA -MR
STATE OF FLORIDA, COUNTY OF
ACKNOVTLEDGED BEFORE 1dE THIS _ DAY OF 20 H, BY \ `
WHO IS PERSONALLY KNOWN TO W OR WHO HAS PRODUCED
AS NTIFICATION.
Y n A GEIP, M. HL'Fv
SI — O i' — — - - - TYPE R P :T N Py9Y C(JMNISSiOfV # Fc fi33530
a CXPIRCS: April 1i_, 2015
CObIMISSION IBER p
'R F Bonded Thru Notary Public Underwriters
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COINUMENCEIIELENT MAY RESULT IN YOUR-PAMG-T%1'WFY -F0K
LAIPROVEIIENTS TOt YOUR PROPERTY. IF YOU MEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C0111'IENCEIIE\T.
EXEAIPT: A/C -HEAT REPLACENIENT KITH CONTRACT UNDER S7500.00
Re,t iced 04/2612010 ��
0 / �1-a - - , ''. -8\6 "
NOTICE TO OWNER: FAILURE TO RED, b A NOTICE OF COMMENCEMENT MAY RE. E IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXFA-IPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
Lander a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location of
property where the building activity is taking place.
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work -
Indicate the total value of the work to take place.
Total cost of construction includes all current retail
material and labor costs associated with the
building/construction activity. Construction value is
used to determine the permit fee. St. Lucie County
reserves the right to question and/or modify the
indicated value of construction if it is demonstrated
that the submitted figures are not consistent with
similar types of construction.
❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
Fence Attach 2 plot plans showing location of fence height of fence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for
new system or full replacement
This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be
accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
NOTE. Emergency electric service change out inspections ivill not be performed after 3: 00 RU lvithont
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.
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 or a commercial building at a cost of
under $7
5,000.00. The 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, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. 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., You may not delegate the
responsibility for 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 applica le ws,
ordinances, building codes, and zoning regulations. Initiai'
I understand that the building official and inspectors are not there to design or give advice on how tQ.nieet
the minimum code. Initial —P
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 U
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
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 rela d 410cal
cost, which could include loss of wages during recovery from their injury. Initia
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 fiirther
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
J I day of IcQ2 of 20
'Owner/Builder Signature
STATE OF FLORIDA� f u G`�
COUNTY OF (�.
The oregoing instrum nt was dedged before me this day of 20
by W19,is personally known to me, or who has
produced `Q - as identification.
Sig —nature of N e or Print Name of o (Seal)
Title: Not= P is Commission Number
SLCPDSD Revised 07/22/2010-,AM HUFF
MNASSI�N # EE 083530
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Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD CARD
Thomas R Hulme
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
��11CIEO0 3
Site Address:
318 HOLLY AV
ParcellD: 3419-510-0251-000-5 k�Gy j
Sec/Town/Range:
22 :36S :40E
Account #: 41991 -c
Map ID:
34/22N
Use Type: SF Res I
Zoning:
RS-4
City/Cnty: Saint Lucie County
Ownership and Mailing
Legal Description
Owner:
Thomas R Hulme Judith A
Hulme RIVER PARK -UNIT 2- BLK 19 LOT 20(MAP 34/22N) (OR 1021-709:
Address:
PO Box 991
1195-2982)
Lake City FL 32056-0991
Sales Information
Assessment 2013 Total Land and Building
Date Price Code
Deed
Book/Page 2013 Final: 134600 Land Value: 69200 Acres: 0.31
12/22/1998
100 01
QC
1195 / 2982 Assessed: 134600 Building Value: 65400
4/25/1996
128000 00
WD
1021 / 0709 Ag.Credit: 0 Finished Area: 2030 SgFt
12/2/1989
112000 00
WD
0667 / 0523 Exempt: 50000
7/1/1981
76700 00
CV
0359 / 2928 Taxable: 84600
Taxes: 1894.78
BUILDING INFORMATION
PEN
Exterior Features
View:
-
RoofCover:
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType:
HD+ - HD+
YearBlt:
1969
Frame:
-
Grade:
D+ - D+
EffYrBlt:
1977
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
Bed Rooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
PF - PF
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/26ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
Y/S Qty,
Units Qual. Cond.
YrBlt. No. Use Type
Type
Measure Depth
DOK2 - WOOD DOCK
Y 1
200 AV AV
1976 1 0100-SF Res
230 -Front Ft
85.6 157
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/paslc/prc.asp?prclid=341951002510005 2/11/2014
v
0
N
1-7
HUD-1
OMB Approval No. 2502-0265
A Settlen _ pit Statement (HUD-1)
B. Type of Loan
0 1. FHA 0 2. RHS 0 3. Conv. Unins. 6. File Number 7. Loan Number 8. Mortg. Ins. Case Num.
4. V.A. Q 5. Conv. Ins. 13095 ID: 504062024
C. NOTE:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.c.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. NAME OF BORROWER:
Address of Borrower:
E. NAME OF SELLER:
Address of Seller:
F. NAME OF LENDER:
Address of Lender:
G. PROPERTY LOCATION:
H. SETTLEMENT AGENT:
Address:
Place of Settlement:
I. SETTLEMENT DATE:
Darren K. Thorson, a married man
1366 SE Preston Lane , Port Saint Lucie, Florida 34983
Thomas R. Hulme and Judith A. Hulme, husband and wife er fic-d o be a
P.O. Box 991, Lake City, Florida 32056-0991
Flagstar Bank, FSB and corre�
5151 Corporate Drive, Troy, Michigan 48098 co �
318 Holly Avenue, Port Saint Lucie, Florida 34952 Ina8
Law Offices of Bonnie A. Brown �'°
514 South Colorado Avenue, Stuart, Florida 34994 �� �g A. �° u wn ES
QjWd9772-221-9024
514 South Colorado Avenue, Stuart, Florida 34994
2/10/14 DISBURSEMENT DATE: 2/10/14
J. Summa of borrower's transaction
K. Summa of seller's transaction
100. Gross amount due from borrower:
400. Gross amount due to seller:
101. Contract sales price
205,000.00
401. Contract sales price
205,000.00
102. Personal property
402. Personal property
103. Settlement charges to borrower (Line 1400)
10,712.72
403.
104.
404.
105.
405.
Adjustments for items paid by seller in advance:
Adjustments for items paid by seller in advance:
106. City/town taxes
406. City/town taxes
107. County taxes
407. County taxes
108. Non Ad Valorem Taxes from 02/10/14 to 09/14/14
163.73
408. Non Ad Valorem Taxes from 02/10/14 to 09/14/14
163.73
109.
409.
110.
410.
111.
411.
112.
412.
120. Gross amount due from borrower:
215,876.45
420; Gross amount due to seller:
205,163.73
200. Amounts paid or in behalf of borrower:
600. Reductions in amount due to seller:
201. Deposit or earnest money
1,000.00
501. Excess deposit (see instructions)
202. Principal amount of new loan(s)
194,700.00
502. Settlement charges to seller (line 1400)
16,268.47
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. Principal amount of second mortgage
504. Payoff of first mortgage- Greentree
186,152.61
205.
505. Payoff of second mortgage loan -
206.
506.
207.
507.
208. Principal amt of mortgage held by seller
508. Principal amt of mortgage held by seller
209.
509.
209a.
509a.
Adjustments for items un aid by seller:
Adjustments for items unpaid by seller:
210. City/town taxes
510. City/town taxes
211. County taxes from 01/01/14 to 02/10/14
207.65
511. County taxes from 01/01/14 to 02/10/14
207.65
212. Assessments
512. Assessments
213.
513.
214.
514.
215. Seller Paid Doc Stamps
1,435.00
515. Seller Paid Doc Stamps
1,435.00
216. Seller Paid Owner's Title
1,100.00
516. Seller Paid Owner's Title
1,100.00
217.
517.
218.
518.
219.
519.
220. Total paid by/for borrower:
198,442.65
520. Total reductions in amount due seller:
205,163.73
300. Cash at settlement from/to borrower:
600. Cash at settlement to/from seller:
301. Gross amount due from borrower (line 120)
215,876.45
601. Gross amount due to seller (line 420)
205,163.73
302. Less' amount paid by/for the borrower (line 220)
(198,442.65)
602. Less total reductions in amount due seller (line 520)
(205,163.73)
303. Cash ( ❑✓ From ❑ To ) Borrower
17,433.80
603. Cash (❑ To ❑ From ) Seller:
0.00I
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. This
agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. No
confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the
settlement process.
DeubleTimernl
HUD-1 U.S. Department of Housing and Urban Development Page 2
L. Settlement charges
700. Total Real Estate Broker Fees $12,300.00
Paid from
Borrower's
Funds at
Settlement
Paid from
Seller's
Funds at
Settlement
Division of commission (line 700) as follows:
701. $ 6,150.00 to Water Pointe Realty Group
702. $ 6,1t0.00 to Water Pointe Realty Group
703. Commission paid at settlement
12,300.00
704.
705. to
706. to
800. Items Payable in Connection with Loan
801. Our origination charge $4,669.00 (from GFE #1)
802. Your credit or charge (points) for the specific interest rate chosen ($3,894.00) (from GFE #2)
803. Your adjusted origination charges to Flagstar Bank, FSB (from GFE A)
775.00
804. Appraisal fee to (from GFE #3) 475.00 POC (B)`
805. Credit report to (from GFE #3)
806. Tax service to First American Real Estate Tax (from GFE #3)
69.00
807. Flood certification to First American Flood (from GFE #3)
5.75
808. to
809. to
810. to
811. to
812. to
813. to
900. Items Required by Lender to Be Paid in Advance
901. Daily interest charges from 02/10/14 to 03/01/14 @ 23.7961 /da (from GFE #10)
452.13
902. Mortgage insurance premium for months to (from GFE #3)
903. Homeowner's insurance premium 1 years to St John's Insurance (from GFE #11)
2,894.00
904. Flood insurance premium for yearsto
905. years to
1000. Reserves De osited with Lender
1001. Initial deposit for your escrow account (from GFE #9)
1,265.99
1002. Homeowner's insurance 3 months $241.17 per month $723.51
1003. Mortgage insurance months $101.91 per month
1004. Property taxes 6 months $180.85 per month $1,085.10
1005. Flood insurance months @ per month
1006. months @ per month
1007. months Q per month
1008. months per month ($542.62)
1009. Aggregate accounting adjustment
1100. Title Charges
1101. Title services and lender's title insurance (from GFE #4)
1,190.00
1102. Settlement or closing fee to Law Offices of Bonnie A. Brov
800.00
1103. Owner's title insurance to Old Republic Nat Title/ Bonnie A. Brown (from GFE #5)
OF6-1100.00
1,100.00
1104. Lender's title insurance to Old Republic Nat Title/ Bonnie A. Brown $695.00
MF6-375.00;8.1-25; F9-147.50; NSE-147.50
1105. Lender's title policy limit $194,700.00
1106. Owner's title policy limit $205,000.00
1107. Agent's portion of the total title insurance premium $1,256.50 to Law Offices of Bonnie A. Brown
1108. Underwriter's portion of the total title insurance premium $538.50 to Old Republic National Title Insurance Comp
1109. Abstract or title search to Attorneys Title Fund Services
80.00
1110. Doc Prep/Loan Package to Law Offices of Bonnie A. Brov $495.00
1111. to
1112. to
1113. to
1200. Government Recording and Transfer Changes
1201. Government recording charges (from GFE #7)
105.00
1202. Deed $18.50 Mortgage(s) $86.50 Releases $0.00 $105.00
1203. Transfer taxes (from GFE #8)
1204. City/County tax/stamps Deed $0.00 Mortgage(s) $389.40
2,505.85
1205. State tax/stamps Deed $1,435.00 Mortgage(s) $681.45
1206.
1207.
1208.
1300. Additional Settlement Changes
1301. Required services that you can shop for (from GFE #6)
350.00
1302. Survey to Kamer Surveying, Inc $350.00
1303. Permit & Code to St. Lucie County Code/Permit
20.00
1304. Final Utilities to St Lucie County Utilities
25.00
1305. Mortgage/Title Clearance to Law Offices of Bonnie A. Brow
895.00
1306. Unpaid 2013 Property Taxes to St Lucie County Tax Collector
2,148.47
1307. to
1308. to
1309.
1400. Total Settlement Charges
( Enter on lines 103, Section J and 502, Section K)
10,712.721
16,268.47
* POC (B) = Paid outside of closing by borrower
* POC (S) = Paid outside of closing by seller
** The exception rate option was used In this file
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SETTLEMI-. -T CHARGES -AND LOAF_- ERMS
Page 3
Settlement Charges
<.• � Fb „�4JD:f Llne�lumbeF��,�
Our origination charge # 801
$4,669.00
$4,669.00
Your credit or charge (points) for the specific interest rate chosen # 802
$-3,894.00
$-3,894.00
Your adjusted origination charges # 803
$775.00
$775.00
Transfer taxes # 1203
$2,550.00
$2,505.85
Charges That m 1o#af CannoNncrteaseIoreS an 1p%uYc���fthiwsti
,u:"� ., . .,.. , is ...°r, - !.. d ;:�F
' �' «m:kz,• Ut #i �,.., .'.'.. °a uacvs,.
"4„ �aa•Ya. .. G Y ,. 1..'.
Government recording charges # 1201
$250.00
F $105.00
Appraisal fee # 804
$476.00
$475.00
Tax service # 806
$69.00
$69.00
Flood certification # 807
$5.75
$5.75
Title services and lender's title insurance # 1101
$2,500.00
$1,190.00
Owner's title insurance # 1103
$2,500.00
$1,100.00
Survey # 1302
$450.00
$350.00
F` s ys
,:: ar t # u'i a :.. :'x.�; .,ti•si ,.z> .. .,;,. .� .aa,..0 {; s ... s , t-.:.,.. ; > 3 x A A, Rla
$6,249.75
$3,294.75
$-2,955.00 or 000010
Char es T Ca n
,. .. :.k.- , :,. ,.,,,:. . .�,x�d�:.. A..nxx r V" Y' •.v. `-.y��� ,�> .,...;. .{A,.... ..;, ..as Sao As.. �.f
�.'S N '�
Initial deposit for your escrow account # 1001
$1,439.67
$1,265.99
Daily interest charges from # 901
$452.13
$452.13
Homeowner's insurance premium for # 903
$2,894.04
$2,894.00
Loan Terms
Your initial loan amount is
$ 194,700.00
Your loan term is
years
Your initial interest rate is
4.461 %
Your initial monthly amount owed for principal, interest,
$ 1,083.92 includes
and any mortgage insurance is
Principal ,Interest :Mortgage Insurance
0 No 0 Yes , it can rise to a maximum of .00 %. The first change will be
Can your interest rate rise?
on and can change again every after
. Every change date, your interest rate can increase or decrease
by .00 %. Over the life of the loan, your interest rate is guaranteed to never be
lower than .00 % or higher than .00%.
Even if you make payments on time, can your loan
0 No O Yes , it can rise to a maximum of $ .00
balance rise?
Even if you make payments on time, can your monthly
a, No O Yes , the first increase can be on and the monthly amount
amount owed for principal, interest, and mortgage
owed can rise to $
insurance rise?
.00
The maximum it can ever rise to is $ .00
Does your loan have a prepayment penalty?
® No O Yes , your maximum prepayment penalty is $ .00
Does your loan have a balloon payment?
IS No O Yes , you have a balloon payment of $ .00 due in
years on 00/00/0000 .
Total monthly amount owed including escrow
O You do not have a monthly escrow payment for items, such as property
account payments
taxes and homeowner's insurance. You must pay these items directly yourself.
You have an additional monthly escrow payment of $ 422.02
that results in a total initial monthly amount owed of $ 1,505.94 This includes
principal, interest, any mortgage insurance and any items checked below:
Property taxes Homeowner's insurance
7
(Flood insurance
i I
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender.
DoubleTime®
HUD-1 SET1--ZMENT STATEMENT Al,, ENDUM
File Number: 13095
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true
and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I
further certify that I have received a copy of the HUD-1 Settlement Statement.
Borrower(s)
Darren K. Thorson
Seller(s)
aI�
Thomas R. Hulme u ith A. Hulme
Settlement Agent
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. 1 have
caused or will cause the funds to be disbursed in accordance with this statement.
Law ZOffco3Bnnie A..Brown
By,
Date: JO, J
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form.
Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001
and Section 1010.
DoubleTime®