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Home My WebLink AboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - (� ds� Date: 9-17-14 SCANNED Permit Number: v J BY :--_-- , St. Lucie County Building Permit 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 x PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 1402 Hartman Road Legal Description: See attached Property Tax ID #: 2417-233-0002-010-9 Site Plan Name: Retherford Water Service Project Name: Retherford Water Service Setbacks Front 25 Back: 15 Right Side: 10 Left Side: 10 DETAILED DESCRIPTION OF WORK: Lot No. Block No. Installation of 1.5" PVC water service from right of way to point of connection to the home for potable service. l� CONSTRUCTION INFORMATION: Additional to e e orme under this permit —check a apply: 11HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator F1 Roof Total Sq. Ft of Construction: N/A Cost of Construction: $ 100 S�Ft.j of First Floor: 1668 s.f. (Existing) Utilities: I _ISewer W1Septic Building Height: 12' +/- OWNERAESSEE: CONTRACTOR: Name Daniel P Retherford Name: OWNER Address: 1402 Hartman Road Company: City: Ft Pierce State: FL Zip Code: 34947 Fax: Phone No. 772-224-9826 Address: City: State. FL Zip Code: Fax: Phone No. E-Mail: dannyretherford@edc-inc.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: State or County License: If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. bb " SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: x Not Applicable Name: _ Address: City: Zip: Phone: Name: _ Address: City:_ Zip: I certify that no work or installation has commenced prior to the issuance of a permit. Phone: 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 or recording your Notice of Commencement. Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORI �9 n STATE OF FLORIDA COUNTY OFso COUNTY OF The foraoling instrum nt w cknowledged before me this day of 20 14 by La�'l d (Name of person acknowledging ) (Signature of Notary Public- State bf Florida ) The forgoing instrument was acknowledged before me this day of , 2014 by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known �-O'RPr: , e t' Ic ti Personally Known OR Produced Identification Type of Identification Pr °AWN Mil ype of Identification Produced ype`�w 'Y\ N a� L9N€ 1 Public - State of Flo; ida Commission No. My C(l)Expires Mar 22, 2017 Commission.No. (Seal) %FOF F�oa�o Commission # EE 877571 Bonded Thrnli h Al,,,.._-, .. . Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Fort Pierce Utilities Authoif� "Committed To Quality" Key Accounts 206 S. 6th Street''" Fort Pierce, FL 34984-3191 Phone (772)466-1600 Fax (772)467-3115 Job Location: 1402 HARTMAN RD Invoice Number: KA-96-14 Account Name: DANNY RETHERFORD PCN:241723300020109 Contact Name: DANNY RETHERFORD LOCID: 10006500 Billing Address: 1402 HARTMAN RD Phone: ( ) - Fax:( ) - Cell: (772)224-9826 FORT PIERCE FL 34947 Cust Type Residential City Limits Outside # Size Description Fees 1 5/8 X 3/4" Water Meter and/or Service Installation $800.00 Water Security Deposit $0.00 Water New Account Setup Charge $40.60 Water Capital Improvement Charge W ERC's 1.00 $920.50 Wastewater Security Deposit $0.00 Wastewater New Account Setup Charge $0.00 Wastewater Capital Improvement Charge WW ERC's 0.00 $0.00 Lien Fees 129.00 Construction Cost Estimate Fees 11 pmts @ 125.96 final pmt 126.04 0.00 0.00 Description for service order: Total Paid 7 /. (G INSTALL 5/8 X 3/4" WATER W/SERVICE NEED PROOF OF OWNERSHIP _ Date Paid: =t_1`' Down Payment: (n, 73 7.90, Invoice Total: $1.511-1_-600 4AesAumber. G_'�S� i=x(1 9 Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater Connection Charge is paid - whichever Is first The cost of the service line from the point of delivery at the property line to the house/building is the responsibility of the customer and Is not included in this invoice. State laws require that a permit from the Health Department must be obtained prior to initiating a septic tank Atandonment Contact the Health Department at (772)8734931. Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion of the project. Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and construction conflicts, the customer will be responsible for increased costs. Additional costs incurred by the customer shall not exceed fifteen (15) percent of the total estimated construction costs shown above. Estimated costs paid by the customer that exceed the actual cost of construction will be refunded by Fort Pierce Utilities Authority. Reviewed By: Jo ce Easterdav Ke7rAccounts S ecialis Date: 06/18/2014 Customer's Signature: Date: Q- /K/ Printed Name: S i! - �4`"rx�'��fT �✓ z �� .a, s Planning & Development Services Department Building & Code Regulations o 2300 Virginia Avenue �` � ��,.,� .�� Fort Pierce, Florida34982 y ti (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 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 ap i ble 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 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 H blf 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 rel d e 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 Departin4nt to t e Florida State Department of Professional Regulation. Signed and acknowledged on this day of IDof 201 Owner wilder Signature STATE OF FLORI k COUNTY OF (i by Signature of Notary Title: Notary Public SLCPDSD Revised 05/15/2014 before me this day of , 20� _who is personally known I to me, or who has as identification. I r"'f'—__ DAWN_MILONE—.Type or Pririt Name of NotNO('�blic - State of Floida Commission Number; MY Comm. Expires Mar 22, 2017 Commission # EE 877571 ,, OF F10�� Bonded Through N ationall Notary Assn. JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3993681 OR F'F—_` 3670 PAGE 2202, Recorded 09/10/20],L �t 02:21 PM Doc Tax: $665.00 r Prepared by and Return to: Kass Shuler, P.A. Richard S. McIver, Esquire 1505 N. Florida Avenue Tampa, Florida 33602 Our File Number: REO-132742 STATE OF Iorida v ) COUN7 F Hillsborough ) .f ) i ru ir+litrv-rurcn, m Roe mrk �-C day w 2014 , betwee FEDERAL HOME LOA ORT CORP6 TI whose s is: 8200 Jo rve. McLean Virginia 22102, party of the first part, and DANIEL RETHERFORD and MELISSA RETHERFORD, husband and wife, whose mailing address is: 1402 Hartman Rd. Fort Pierce, Florida 34947 party/parties of the second part, WITNESSETH: First party, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, does hereby grant, bargain, sell, aliens, remises, releases, conveys and confirms unto second party/parties, his/her/their heirs and assigns, the following described property, towit: Beginning at the West 1/4 corner of Section 17, Township 35 South, Range 40 East, Saint Lsteie EougtyrFlorida; pm -thaw North 88-deRrees30-minutes.2i-secands -� a Wstapce 6A.45.024eet; thence North 00,deareoi 10 2 1.0 feet to the Peiftt BU362 ce ontin a orth 00 eg ees 10ipij 0 se onds East a distan a he ceJNo h grees 1 minutescons East a distance f po' t;nce degrees 10 n Olsec ds West a an e; t ncuth 89 degrees 59 minutes sec ds tsta eo a Poif Beemm e. Parcel No. 2417-233-0002-010-9 AKA: 1402 Hartman Rd, Fort Pierce, Florida 34947 Subject, however, to all covenants, conditions, restrictions, reservations, limitations, easements of record if any and taxes and assessments for 2014 and subsequent yearsand to all applicable zoning ordinances and/and restrictions and prohibitions imposed by govemmental authorities, if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. AND e p of the fi t part ereby coven with aid party of the se nd art, tha rt is awful) eized of said land i fee 'mple: t it as odJsam author' t sell an con ey s 'd 1 d; t t it ereby fully warrants t e ti a to said Ian a w 11 d nst thela 1 claim of 11 pers s c i ing y, through or under the a of the first part. J OR BOOK 3670 PAGE 2203 Print witness name rnm Notary Name My Commission Expires: Notary Seal Limited Power ofAnomev for rant v4ame- Title: an authorized signatory Richard S. McIver, Esquire As Attorney In Fact for F�! to Seal) Home Loan Mortgage Co�p`or Aon GWENDOLYN M. BROWN # * MV CO!J6RSSION / EE 156771 EXPIRES: January 3, 2016 ��"povvw"° eonmdrnmMOM NOWYgenka ed S' ato is recor in O cial Records Book 2 ED of