Loading...
HomeMy WebLinkAboutSUBMITTED PAPERSDate: Receipt#: Permit TI Initi zaki ;_5 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT =x �° Building and Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 SCqNN (772)462-1553 UCiB co SPECIALTY PERMIT APPLICATION u'741 ❑ Electrical nYlumbing ❑ HVAC ❑ Fence ❑ Commercial Irrigation ❑ Shed ❑Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: C 7 2. Parcel ID Number: y� �- ' la UE. 000 7 3. Complete Description of Proposed Work: Neil k °-' �-�`� y w�'1e/'i 4. Owners Information 5. Contractors Information Name: 0oe_'a'T 'g—lwe ry FL Reg/Cert #: Address .5`7 0 y .SE' z ue dr, County Cert#: City: 66; "-T Oeiif State: /-%L : Business Name: Zip. �y -Phone: '��s`77,C q1 Phone: a 6. Value of Construction: $ �. Gj �' ° Email: OWNER'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 laws regulating construction and zoning. 17 PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR G01qTRACTOR STATE OF FLORIDA, COUNTY OF'�� ACKNOWLEDGED BEFORE ME THIS DAY OF 20 4 __BY WHO IS PERSONALLY KNOWN TO. ME OR WHO HAS PRODUCED AS IDENTIFICATION. SIG NOTARY TYPE OR COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 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. "EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 01/03/2014 1\Y 11lV V 1 •Vl\J Please complete all informa++rn in the space.provided. All informati— must be printed (use black or blue ink only) or typed. This permi. plication- is to be used only for those E ities that are not otherwise included under 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 Informatiion 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 0 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 but 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 will not be performed after 3:00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. ,---Shed/Location Permit PLEASE LOCATE SHED AND ALL BUILDINGS WITH SETBACKS TO THE PROPERTY LINES. Example of Plot Plan for shed. Please show distance from shed to the lot lines House Smith Lane FRONT PROPERTY LINE ON ROAD Shed All, applications for Shed - Locational Permits are to be submitted to the St. Lucie County Building and. Zoning Department, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Shed - Locational Permits must be complete and filed with the Department no later 4:30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please contact the St. Lucie County Building and Zoning Department, at (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the issuance of this Shed - Locational Permit, the scheduling of all required inspections may be made by calling (772) 462-1261. SLCPDSD 4/11/2011 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 $75,000.00. 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 applicable laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to Meet the minimum code. Initial! 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 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 he cost of the license. Initial _71 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 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 Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this dayof r>Gf'3���y of20�. Owner/Builder Sig;raiire STATE OF FLOgIPA COUNTY OF U cAt✓ 1 The f going instrument was a knowledged befo, me this\day of 20 by ho is personall known tome, or who h s pr ce -(",as identification. (� IN 02 — Signature of Not ype or Pr1 o Notary J (Seal) Title: Notary Pub 'c Commission Nu- -her , • HUFF SLCPDSDRevised07/22/2010 _; MYCoMfvVSS10N#EE083530 Bond EXPIRES: pn112 ThrnFdot-A 2015 ry Public Undenyriters OMB Approval No. 2502-0265 A. Settl_---jent Statement (HUD-1) ;. Type of Loan ❑ FHA 2.0 RHS 3.0 Conv. Unins. ❑ VA 5.0 Conv. Ins. 6. File Number 14-010 7. Loan Number CASH 8. Mortgage Insurance Case Number . Note: This form is fumished 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 information purposes and are not included in the totals. 1. Name and Address of Borrower Robert E. Thiery Linda K. Thiery 4804 Palmetto Drive Fort Pierce, Florida 34982 E. Name and Address of Seller FEDERAL NATIONAL MORTGAGE ASSOCIATION REO # A130ZRM Loan# 1705326745 14221 Dallas Parkway, Suite 1000 Dallas, Texas 75254 F. Name and Address of Lender CASH �. Property Location 5404 SEAGRAPE DRIVE FORT PIERCE, FLORIDA 34982 H. Settlement Agent (772-621-2882) Prime Title Services, LLC Place of Settlement 1775 S.W. Gatlin Boulevard Suite 204 Port St. Lucie, Florida 34953 I. Settlement Date 02/11/14 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 00. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 01. Contract sales price 75,650.00 401. Contract sales price 75,650.00 02. Personal property 402. Personal property 03. Settlement charges to borrower line 1400 1,428.68 403. 04. 404. 05. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 06. City/town taxes to 406. City/town taxes to 07. County taxes to 407. County taxes to 08. Assessments to 408. Assessments to 09. 409. 10. 410. 11. 411. 12. 412. 20. GROSS AMOUNT DUE FROM BORROWER 77,078.68 420. GROSS AMOUNT DUE TO SELLER 75,650.00 !00. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 600, REDUCTIONS IN AMOUNT TO SELLER M. Deposit or earnest money 7,565.00 501. Excess Deposit see instructions 02. Principal amount of new loan(s) 502. Settlement charges to seller (line 1400) 4,899.75 M-F- istlno-loan(s) taken subject to 503. Existing loans taken subject to -- - - - - - SU. Pavoff of first mortgage loan 02-12 2014County� rrHIERY67RDBEPT E 5404 S�AGRAP DR' FORT PIERCE FL 34982 Amount Tendered: Amount Paid: Change Due: Thank You User ID: WARDD r rric�rnrrFu -.. ., 434.00 434.00 0.00 �-7 OFFICE USE ONLY ; a;. �:_ QED / f L ASH : CHK # � � RECEIVED BY .