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HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICAB E IN O UST BE COMPLETi:.�,-.�OR APPLICATION TO BE ACCEPTED (-- /G� / ;_v\' 4q; Date: Permit Number: SCANNeD Y .. '3t. Lucie ' t C - Building emit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential , PERMIT APPLICATION FOR: PR'OPO5ED N'�PROVEMENT L©CATION Address: l �� Legal Description: Property Tax ID #: 9OR 005-� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION QF WORK: U-101 CONST'+l1CTI0N IN'F®RMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters - Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ ld" Utilities: Sewer _ Septic Building Height: QWNER%LEASSEE: CO, TRACTaR: Name pe r► Nape: Address: Company: Address: - 3. City: ��1 e.K,C�`� State: City: State: Zip Code: O o� Fax: �,o��U �'��� Phone No. Zip Code: Fax: E-Mail: SixSrA S ' trr 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. i SUP' I.E =�NTA CC}N,0 1 , IiJN LIEN LAIN I"N'FCIRMATIO,N; 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that.may restrict or prohibit such structure. Please consult with your Home Owners 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work orXecording your Notice of Commencement. 7& 1 1 i natu a of Owner/Agent/ Les ee Signature of Contractor/License Holder STATE OF FLORI V C STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this \<o day of 'S j!4r 20IJ by this day of 20_ by (Name of person acknowledging) _ (Name of person acknowledging) (Signature of Notary Publi - State of Florida) (Signature of Notary Public- State of Florida ) Personally Known OR P o n Personally Known OR Produced Identification Type of Identificati 89�Nni Florida Type of Identification Produced „ , otary Pu itp E 16, 20 Commission No. � _ �'. � �M1Y �0m E 856761 Commission No. (Seal) =' • oQ: Com is Assn Through Naliona� l Bonded REVIEWS FR NT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 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. 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. 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. Your construction must comply with all app 'cable 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 t, 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 —��/-��A I understand that if I compensate any person or company for work performedthey. are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and I,i r 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 related ical 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 Dep en t o the Florida State Department of Professional Regulation. Signed and. acknowledged on this day of of 20 ^ ° erBuild r Signature STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this `C* day of S"e Pk , , 20 iy , by L. q p tg Y\ who is personally known to me, or who has produced as identification. _s �� Florida Signature ofNotar)N Type or Print Name ofNotar ' "" P W%es Dee 16,.1V'"' Y •�µY P� • Notary Title: Notary Public Commission Number s Dlly commis Q t« EE 555761 gon666 Through National Nelaty Pssn SLCPDSD Revised 05/15/2014 • ,,,,,. �°'� `ST LUCIE CC TffilbkS --P.O. B( d% i28, FT. P-IERCE, FL 34982 St. Lucie County - PCIS 09-16-2014 11:48:10 15422/4682 HEARING, LAURIE L. 5103 PALMETTO DR FORT PIERCE FL 34982 Amount Tendered: 518.00 Amount Paid: 518.00 Change Due: 0.00 Thank You User ID: -RODRIGUEZM DA'TE!RECEIVED � ,r 5 9 OMB No. 2502-0265 A. Settlement Statement (HUD-1) B. Type of Loan 1. ❑ FHA 2. ❑ RHS 3. ❑ Conv Unins 4. ❑ VA 5. El Conv Ins. 6. ❑ Seller Fin 7. ❑ Cash Sale. 6. File Number 4976041 7. Loan Number 1601834695 8. Mortgage Ins Case Number C. Note: This form is famished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked " .o.c. " were paid outside the closin • the are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower Shawn A. Hearing and Laurie L. Hearing, husband and wife 885, E. Prima Vista Blvd. Port Saint Lucie, FL 34952 E. Name & Address of Seller Glen Morrow and'Lana Morrow, husband and wife 6713 County Road #29 R.R. #3 Altamonte, Ontario Canada, K0AlA0 F. Name & Address of Lender Franklin American Mortgage Company 501 Corporate Centre Dr., Suite 400 Franklin , TN 37067 G. Property Location Lot 30 and 31, Block 5, INDIAN RIVER ESTATES UNIT FIVE, St. Lucie County, FL 5103 Palmetto Drive Fort Pierce, FL 34982 H. Settlement Agent Name First International Title - Fort Pierce Branch 107 North 2nd Street Fort Pierce, FL 34950 772465-8533 Underwritten By: First American Title I. Settlement Date 9/12/2014 Fund: Place of Settlement First International Tide - FP 107 North 2nd Street Fort Pierce FL 34950 1603. K. Summary of Seller's Transaction J. Summary of Borrower's Transaction 100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller 101. Contract sales price $195,000.00 401: Contract sales price $195,000.00 102.. Personal property 402. Personal property 103. Settlement charges to borrower $11,626.20 403. 104. 404. 105. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. County Taxes 406. County Taxes 107. Non -Ad Valorem 09/12/14 to 09/30/14 $38.11 407. Non -Ad Valorem 09/12/14 to 09/30/14 $38.11 108. Solid Waste 408. Solid Waste 109. MSBU-Sewer/Water 409. MSBU-Sewer/Water 110. CDD 410. CDD 111. HOA 411. HOA 112. Flood Insurance 412. Flood Insurance 113. 413. 114. 414. 115. 415. 116. 416. 120. Gross Amount Due From Borrower $206 664.31 420. Gross Amount Due to Seller $195 038.11 200. Amounts Paid By Or in Behalf Of Borrower 500. Reductions in Amount Due to Seller 201. Depositor earnest money $1,000.00 501. Excess deposit (see instructions) 202. Principal amount of new loan(s) $165,750.00 502. Settlement charges to seller (line 1400) $12,345.00 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. 504. Payoff of first to mortgage loan 205. 505. Payoff of second to mortgage loan 206. 506. 207. Deed Transfer Taxes paid by Seller $1,365.00 507. Deed Transfer Taxes paid by Seller $1,365.00 208. Portion of Owner's Policy Paid by Seller $1,050.00 508. Portion of Owner's Policy Paid by Seller $1,050.00 209. 509. Adjustments for items unpaid by seller Adjustments for- items unpaid by seller 210. County Taxes 01/01/14 to 09/12/14 $1,267.80 510. CountyTaxes 01/01/14 to 09/12/14 $1,207.80 211. Non -Ad Valorem 511. Non -Ad Valorem 212. Solid Waste 512. Solid Waste 213. MSBU-Sewer/Water 513. MSBU-Sewer/Water 214. CDD 514. CDD 215. HOA 515. HOA 216. Flood Insurance 516. Flood Insurance 217. 517. 218. 518. 219. 519. 220. Total Paid B /For Borrower $170 372.80 520. Total Reduction Amount Due Seller $15 967.80 300. Cash At Settlement From/To Borrower 600. Cash At Settlement To/From Seller 301. Gross Amount due from borrower (line 120) $206,664.31 601. Gross Amount due to seller (line 420) $195,038.11 302. Less amounts paid by/for borrower (line 220) $170,372.80 602. Less reductions in amt. due seller (line 520) $15,967.80 303. Cash From Borrower $36,201.51 Cash To Seller $179,070.31 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 patties to a RESPA covered transaction with information during the settlement process. POC (B) - Paid Outside of Closing by Borrower. POC (S) - Paid Outside of Closing by Seller. POC (L) - Paid Outside of Closing by Lender. Previous editions are obsolete Page 1 of 4 HUD-1 File No. 4976041 DATE:09/11/2014 L. Settlement Charges 700. Total Real Estate Broker Fees $11,700.00 Paid From Borrower's Funds at Settlement Paid From Seller's Funds at Settlement Division of Commission (line 700) as follows: 701. $5,850.00 to McCurdy & Co. Realty 702. $5,850.00 to Real Estate of Florida 703. Commission Paid at Settlement $0.00 $11,700.00 704. Broker Only Commission to McCurdy & Co. Realty 1 1$295.00 800. Items Payable in Connection with Loan 801. Our origination charge 1 $4,558.13 (from GFE #1 802. Your credit or charge(points) for the specific rate chosen 1 $4,248.18 (from GFE #2 803. Your adjusted origination charges to (from GFE A) $309.95 804. Appraisal Fee to Streedinks PS410Bo (from GFE #3) 805. Credit report to Certified Credit Reporting roc (B) $19.50 (from GFE #3) $7.00 806. Tax service 1807. to (from GFE #3) Flood certification to (from GFE #3) 900. Items Required by Lender To Be Paid in Advance 901. Daily interest charges from 9/12/2014 to 10/1/2014 @ $21.5702/day (from GFE #10) $409.83 902. Mortgage Insurance Premium for months to from GFE #3 -903. Homeowner's insurance for 1 years to Homeowners Choice Property & Casualty Insurance (from GFE #11) $3,204.00 1000. Reserves Deposited With Lender 1001. Initial Deposit for your escrow account (from GFE #9) $2,94034 1002. Homeowner's insurance 3 months @ $267.00 per month $801.00 1003. Mortgage insurance 0 months @ $54.57 per month 1004. County Taxes 13 months @ $205.64 per month $2,673.32 1005. Stormwater/Main months @ per month' 1006. Solid Waste months @ per month 1007. MSBU-Sewer/Water months @ per month 1008. CDD months @ per month 1009. HOA 0 months @ 1010. Other taxes 0 months @ 1011. Aggregate Adjustment $-533.98 1100. Title Char es 1101. Title services and lender's title insurance to First International Title (from GFE #4) $880.78 1102. Settlement or closing fee to First International Title $595.00 $350.00 1103.Owner's title insurance to First International Title (from GFE #5) $1,050.00 1104. Lender's title insurance to First International Title $25.00 1105. Lender's title policy limit $ $165,750.00/$157.50 . 1106.Owner's title policy limit $ . $195,000.00/$1,050.00 1107. Agent's portion of the total title insurance premium to First International Title $845.25 1108. Underwriters portion of the total title insurance premium to First American Title $362.25 1109. Search or Abstract Fee to First International Title 1110. FL Form 9 to First International Title $107.50 1111. Envitonmental Protection to First International Title $25.00 1112. Florida Surcharge to First American Title - Surcharge Fund $3.28 (from GFE #4) $0.00 1113. O&E Report on 938 SE Breakwater to First International Title $125.00 (from GFE #4) $0,00 1200. Government Recording and Transfer Charges 1201. Government recording charges (from GFE #7) $147.50 1202. Deed $18.50 ; Mortgage $129.00 , Release $0.00 to Clerk of the Circuit Court 1203. Transfer taxes (from GFE #8) $2,276.80 1204. City/County tax/stamps Deed $0.00 ; Mortgage to Clerk of the $0.00 $331.50 Circuit Court 1205. State tax/stamps Deed$1,365.00 ; Mortgage to Clerk of the $580.30 Circuit Court 1300. Additional Settlement Charges 1301. Required services you can shop for (from GFE #6) $400.00 1302. Survey to Target Surveying, LLC $400.00 (from GFE #6) $0.00 1303. Digital Document Storage to. Pioneer Technology 1304. 2013 Taxes Paid to St. Lucie County Tax roc ts1 Collector $2,"3.02 1400 Total Settlement Charges (enter on lines 103, Section J and 502, Section I) 1 $11,626.20 1 $12 45.00 POC (B) - Paid Outside of Closing by Borrower. POC (S) - Paid Outside of Closing by Seller. POC (L) - Paid Outside of Closing by Lender. Previous editions are obsolete Page 2 of 4 HUD-1 File No. 49760-41 DATE:09/11/2014 Comparison of Good Faith Estimate (GFE) and HUD-1 Charges Charges That Cannot Increase HUD-1 Line Number Our origination charge 801 Your credit or charge (points) for the specific rate chosen 802 11203 Your adjusted origination charges 803 Transfer taxes Charges That in Total Cannot Increase More Than 10% Government recording charges 1201 Appraisal Fee 804 Credit report 805 11103 Title services and lender's title insurance 1101 Owner's title insurance Survey 01302 Total I Increase between GFE and HUD-1 Charges I Charges That Can Change Initial deposit for your escrow account 1001 Daily interest charges 901 21.5702/da Homeowner's insurance 903 Loan Terms Good Faith Estimate HUD-1 $4,558.13 $4,558.13 $4,248.18 $4,248.18 $309.95 $309.95 $2,276.80 $2,276.80 Good Faith Estimate HUD-1 $268.50 $147.50 $430.00 $410.00 $50.00 $26.50 $760.00 $880.78 $1,050.00 $1,050.00 $450.00 $400.00 $3,008.50 1 $2,914.78 $-93.72 or -3.12% Good Faith Estimate HUD-1 $2,064.65 $2,940:34 $323.55 $409.83 $3,792.00 $3 204.00 Your initial loan amount is $165,750.00 Your loan term is 30 years Your initial interest rate is 4.75% Your initial monthly amount owed for principal, interest, and any mortgage $919.20 includes insurance is ❑O Principal O Interest El Mortgage Insurance Can your interest rate rise? El No. ❑ Yes, it can rise to a maximum of 0%. The first change will be on and can change again every after. Every change date, your interest rate can increase or decrease by 0%. Over the life of the loan, your interest rate is guaranteed to never be lower than 0% or higher than 0%. Even if you make payments on time, can your loan balance rise? O No. ❑ Yes, it can rise to a maximum of $0.00 Even if you make payments on time, can your monthly O No. ❑ Yes, the first increase can be on and the monthly amount owed amount owed for principal, interest, and mortgage insurance rise? can rise to $0.00 The maximum it can ever rise to is $0.00 Does your loan have a prepayment penalty? O No. ❑ Yes, your maximum prepayment penalty is $0.00 Does your loan have a balloon payment? 0 No. ❑ Yes, you have a balloon payment of $0.00 due in 0 years on Total monthly amount owed including escrow account payments ❑ You do not have a monthly escrow payment for items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. I] You have an additional monthly escrow payment of $472.64 that results in a total initial monthly amount owed of $1,391.84. This includes principal, interest, any mortgage insurance and any items checked below: ❑ Property taxes O Homeowner's Insurance ❑ Flood insurance ❑ ❑ ❑ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-1 File No. 4976041 DATE:09/11/2014 Fi:e'lo. 4976041 I have made on ;nt Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and in this transaction. I fiuther certify that I have received a completed copy of pages 1, 2 and 3 of this HUD-1 Settlement 7 GleCMorrow Lana Obgw SETTLEMENT AGENT CERTIFICATION The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this action. I have used the funds to be disbursed in accordance th this stateme t. S ment Agent Date Warning: It is a crime to knowingly make false statements to the United States on this or any other similar form Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section . 1001 and Section 1010. Previous editions are obsolete Page 4 of 4 1lIJD-1 File No. 4976041 DATE:09/11/2014 Loan Number: 1601834695 HEARING File Number: 497060-41 Borrower: SHAW N A HEARING Signature Signature ADDENDUM TO HUD-1 Date Date Signature Date Signature Date ADDENDUM TO HUD-1 page 1 DocMagic HUD1ADD.M$C 12/09/09 www.dacmagic.com