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Home My WebLink AboutSUBMITTED PAPERSDate: - Fee )(Due: ' Recei t# ��-i �eI•mit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 St, (772)462-1553 SPECIALTY PERMIT APPLICATION. ❑ Electrical ❑ Plumbing . Q HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Ago S x�. e� pay for instructions and additional paperwork required for specialty permits (� nn 1. Location/Site Address: N ID Pw 4Z k ✓F2 f5S-rflTiS UN I i 0-1 6, 2. Parcel ID Number: 1 Ae: 000 `T SCBYN�G Lay County / V" 4Z Lo-rI8 6?4104 Office Use Only Section Township Range Map Page Zoning Land Use Initials C 3. Complete Description of Project or Work: � (-,l A, ( 4Z Hco(G vl (7 - ro— CITY In9K �� 4. Owners Information `I /5. Contractors Information Name: L -rwU ®� /�!i( Cj (-r�.5 FL Reg/Cert #:� (� Address: S�j� I l % _ 0�tV, County Cert#: City: C,0 State: Vkl Business Name: Zip: ,� j /Phone:(197,5'Phone• Fax: 6. Value of Construction: S V OWNERS AFFIDAVIT: I certify that all of the information contained in this ap ication is correct and that all work will be done in �mpliance with all applicable laws regulating cons t' zo g. ® �� (�. C, 112 t7OO(L Ctf�tG�C-f�, 5 PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNEP CONTRACTOR STATE OF FLORIDA, COUNTY OF U' ACKNOWLEDGED BEFORE ME THIS fl DAY OF 20 - BY L WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRO CED =NTTION.0 A,,, �v`�J�° it AA1 4�, &",. IF' U( V (seal) . VONATURE O OTARY 'TYPE -Off PRHf NAME OF NOTARY 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, CONS U UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C:O PHREY EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 p,UDFSy B. wSC s' n. C(}tJIMISSION # EE 20159 Revised 04/26/2010EXPIRES: March 6, o" pubfcUnderv+nters Planning & Development Services Department Building & Code Regulations fl , ra v 2300 Virginia Avenue Fort Pierce, Florida 34982 .,.,�Hr�na �' a: .a.� .�� _ram;•.-,. — --- - --_ - �(772)462-1553- - OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT ----------------------E.S.989.103-inn-EXEMP_T_IONS_-- ----- ------------- -- --- --- - --� -- . —State law•requires construction to -be done -by -licensed contractors.—I'ou have-applied_for a perm>�under exemption to -that law. -"The exemption"allows-you, as the owner of your -properly, -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 build-or_improve-.far-m-outbuildings,-a-one-family or-two-famil-y-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. -I-f-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 liave "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 th& 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 bylaw. Your construction must comply with all appl�eab e 1 ws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on&w to meet the minimum code. Initial C H 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 Ha le foj the cost of the license. Initial C rt 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 re at d medical cost, which could -include loss of wages during recovery from their injury. Initial C- N 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 Z,gPing Department to the Florida State Department of Professional Regulation. Agned anacknowledged on this day o of 20 IS, Owner/Builder Si e STATE OF FLORIDA COUNTY OF—�Ze, The fir oing ins ment was act owled d before me this day of / / 20-1 e who is personally known' to me, or who has pr uced i identification. 4e ct Signature otary or Pi mt Name of Not)6 ea ) Title: Not Public Commission Number SLCPDSD Revised 07/22/2010 �4O: P AUN EY B. HUMPHREY P%l k MY COMMISSION # EE 061159 -* EXPIRES: March 0, 2015 �" oe` Bonded Thru Notary Public Undervaiters Property Appraiser - St.Lucie (' = : ity, FL Page 1 of 1 PROPERTY RECORD CARD Fifth Third Bank Record: 1 of 1 <<Prev Next>> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 4 PX� �,�CIE p Site Address: 4805 MYRTLE DR ParcellD: 34'O2' Ofi--or 0 Sec/Town/Range: 02:36S:40E Account #: 966690 y�� F/ Map ID: 34/02N Use Type: SF Res City/Cnty: St Lucie County Zoning: RS-4 - CO Ownership and Mailing Legal Description Owner. Fifth Third Bank INDIAN RIVER ES ESnUT 1 ��`.8i{MAA , 3� _4f.02N),r(p Address: 5001 Kingsley Dr 1 MOB10 3 5"-1'803j Cincinnati OH 45263 Sales Information Assessment 2012 Total Land and Building Date Price Code Deed Book/Page 2012 Final: 79100 : Land Value: 6900 Acres: 0.23 10/8/2012 197500 0112 WD 3465 / 1803 Assessed: 79100 Building Value: 72200 9/2/2005 69900 00 WD 2372 / 0892 Ag.Credit: 0 Finished Area: 1534 SgFt 6/30/2005 295000 02 WD 2298 / 1597 Exempt: Taxable: Taxes: 1600.31 BUILDING INFORMATION Exterior Features View: - RoofCover: FS - Fibrglss Shg ExtType: HC+ - HC+ YearBlt: 2007 Grade: C+ - C+ EffYrBlt: 2007 StoryHght: 0010 -1 Story No.Units: 1 Interior Features BedRooms: 3 Electric: MX - MAXIMUM FullBath: 2 HeatType: FHA - FrcdHotAir 1/213ath: 0 HeatFuel: ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual, Cond. YrBlt. No. Use Type DWC - Driv-Concret Y 1 720 AV AV 2007 1 0100-SF Res RoofStruct: HP - Hip Frame: - PrimeWall: HP - Hardi Plank SecWall: PSPC - PolySteel-PC PrmintWall: DW - Drywall AvgHt/FI: Prm.Flors: CU - Carpet %Sprinkled: 0 Type Measure Depth BI -Front Ft 80 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. hq://www.paslc.org/paslc/prc.asp?prclid=340260801340007 5/31/2013 WATER COMM ST.-LUCIE-C-OUNTY UTILITIES - P.-O. BOX 728, FT. PI SEWER :- _.RES_ __METER _SZ.MIF A-C-C.T D-DI Tk SECURITY DEP- `SERVICE -A ZESS____'4 FL 34982 SERVICE FEE T--/ 7 SAME DAY FEE Ll SUBDIVISION. LOT1 BLOCK OVERTIME FEE METER INSTALL. BILLING ADDRESS CFC/WATER FPUA CFC PHONE# MOVE IN/CLOSING DATE CFC/SEWER GUAR. REV. This application hereby -request and authorizes the Utility to render water and/or sewage disposal services to the premises desdribed above in accordance with the Utilities present or future rates, LATERAL rules I 'and regulations., Which by 'reference are. made apart of this contract.- Applicant agrees to pay -the- Utility -promptly -for -such services-m-accordance=with-the--6iiablished-'rules;ind regulations. TOTAL CUSTOMERSDEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE. "C SOCIAL'SEC/ "CUSTOMER : � / - I -_ This Documrnl Prepared By: ServleeLink 400 Curpora:ion Dr Aliquippa PA 15001 Purerl ID a 3402-606-0134-000:7 Rourn To: S-1-1.hd< 400 Corlwrallm: or AIIqulppo. PA 15001 SL u 3118736 SPECIAL WARRANTY DEED This SPECIAL WARRANTY DEED, dated by Fifth Third Bank, an Ohio Banking Corporation, as successor by merger to Fifth hir Bank, A Michigan Banking Corporation, as successor in interest to R-G Crown Bank, whose post office address is 5001 Kingsley Drive Cincinnati, OH 45227, hereinafter called the GRANTOR, n' tag whose post office address 4805 b'Iyrtle Drive Fort Pierce FL 34982-3800, hereina er called the GRANTEE: ( Wherever used herein the terms "Grantor" and "Grantee" include all parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations,) WITNESSETH: That the GRANTOR, for and in consideration of the sum of Fifty Seven Thousand and 001100 (S57,000.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the GRANTEE, all that certain land situate in Saint Lucie County, Florida,: All that certain parcel of land situate in the County of Saint Lucie, State of Florida, being known and designated as follows; Lot 18, Block 42, of Indian River Estates Unit Seven, according to the Plat thereof as recorded in Plat Book 10, Page (s) 75, of the Public Records of St. Lucie's County, Florida. Being the same property conveyed to Fifth Third Bank, an Ohio Banking Corporation, as successor by merger to Fifth Third Bank, A Michigan Banking Corporation, as successor in interest to R-G Crown Bank by Clerk of Circuit Court, Saint Lucie County Instrument # 3781653, Book 3465 Page 1803 Recorded 1?!192012. GRANTOR HEREBY AFFIRMS THE PROPERTY DESCRIBED HEREIN IS NON -HOMESTEAD Seller rakes no representations or warranties, of any kind or nature whatsoever. whether expressed, implied, Implied by law, or otherwise, concerning the condition of the property. 4805 Myrtle Drive Fort Pierce, FL 34982-3800 SUBJECT TO covenants, conditions, restrictions, reservations, limitations, easements and agreements of record, if any: taxes and assessments for the year 2013 and subsequent years; and to all applicable zoning ordinances and!or restrictions and prohibitions imposed by governmental authorities: if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or i*anywise appertaining. TO HAVE AND TO HOLD, the some in fee simple forever, AND THE GRANTOR hereby covenants with said GRANTEE that except as above noted, the GRANTOR is lawfully seized of said land in fee simple; that the GRANTOR has good tight and lawful authority to sell and convey said land; that the GRANTOR hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by, through and under grantor, but against no others, IN WITNESS WHEREOF, GRANTOR has signed and sealed these presents the date set forth above. SIGNED IN THE PRESENCE OF THE FOLLOWING WITNESSES: Fifth Third Bank, an Ohio Banking Corporation; as successor by merger to Fifth Third Bank, A 141chigan Banking Corporation, as successor in Signature: intere to - Cr wt Print Name; By: 1, M. B. MoCAY \``��p��NHIAD"��b�� Sienature: i t Its: VICE PRESIDEW �411 Print Na tephen Gabbard DYtYO AssismmVice presldent STATE OF aIiD COUNTY OF*% THE FOREGOr.ING INSTRUMENT was acknowledged before me this W day of f IXorffby Fifth Third Bank, an Ohio Banking Corporation, as successor by merger to ift T ' B aKk, A Nit ch" au Banking Corporation, as successor in interest to R-C Crown Bank.1 r�YryS . of, on behatf of the corporation. He -'she is personally known tonic or has produced -- as idenu cation (SEAL) Notary t/ 4k Print Name. amz: My Comirtis ion Expires: (0 4805 Myrtle Drive Fort Pierce, FL 34982-3800 RANDI L. DEAKLE Notary Public, State of Ohio My Commission Explres October 6, 2014 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3840967 OR BC'_1524 PAGE 1930, Recorded.06/04/2013' '.09:28 AM Doc Tax: $399.00 L I i This ocutnunt P�� B D Scr iteLink 400 orponllen Or All ipp& PA I5001 Par I ID A 3402.608-0U4-000,7 Return S I!cLln 400 rporatlon Or Allyuipp . St. a 3118736 SPECIAL WARRANTY DEED This SPECIAL WARRANTY DEED, dated V by Fifth Third Bank, an Ohio Banking Corporation, as successor by merger to Fifth hir Bank, A Michigan Basking Corporation, as successor in interest to R-G Crown Bank, whose post office address is 5001 Kinggzley Drive Cincinnati, OH 45227, hereinafter called the GRANTOR, to Carl Trevor Hughes Whose post office address 4805 Myrtle Drive Fort Pierce FL 34982-3800, hereinafter called the GRANTEE: (Whle aRl renreRent itr the teems ans otar� "Grant t ' arties tokns ofcorWantonatl h ' -_ legal renresentat Wes an asstans of indi uals. d the successors an ssi S Of co oral ons,) INESSETH: ha the Gralitens, R, for 00/100 ($57,0 0.00 avalual by grants, bargains, ellremis certain land situate in Sae Cou W FifSevkip Thou nd is hereac ow dged, unto the JEE, all eier tate of Florida ' and ues areasn as toltow�s< J \1 J Lot IS, lock 4�2, of Indian River Estates Unit Seven, according to the Plat thereof as recorded in Plat Book 10, Page (s) 75, of the Public Records of St. Lucie's County, Florida. Being the same property conveyed to Fifth Third Bank, an Ohio Banking Corporation, as successor by merger to Fifth Third Bank, A Michigan Banking Corporation, as successor in interest to R-G Crown. Bank by Clerk of Circuit Court, Saint Lucie County Instrument # 3781653, Book 3465 Page 1803 Recorded 12/19/2012. GRANTOR HEREBY AFFIRMS THE PROPERTY DESCRIBED HEREIN IS NON -HOMESTEAD. Seller makes no representations or warranties, of any kind or nature whatsoever, whether by , or o ise, con on D ;e, 34982-38 OR BOOK 3524 PAGE 1931 ' 1 V �T TO covenants,(ns itions, restricts s, r servos ns, s, ements a agree nts of if any; taxes and a ents for they r. 2 13 and subsequent ye ;and to all ap ica a Zoning ces and!or�restt�icti d prohibition imp sad by ove authorities, if any. ,,,,Ih all fhements. eredita is a anourtenance thereto belot tuna or in an ise TO HAVE AND TO HOLD, the same in fee simple forever. AND THE GRANTOR hereby covenants with said GRANTEE that except as above noted, the GRANTOR is lawfully seized of said land in fee simple; that the GRANTOR has good right and lawful authority to sell and convey said land; that the GRANTOR hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by, through and under grantor, but against no others. IN WITNESS WHEREOF, GRANTOR has signed and scaled these presents the date set fortis above. suc essor bt me ger to Fiftl 4 Iic igan nking Corp�a my ee Pr ntarnte: tic" lure: : es to M- . .McCoy Print VcePeidnt s STATE OF 0010 COUNTY Oq�K Wp Q� THE FOREGOING rNSTRUVtENT was acknowledged before me this !L day of Third Bank, an Ohio Banking Corporation, as successor by merger to ifs T Banking Corporation, as successor In interest to R-G Crown Bank, of, on behalf of the corporation. HeShe is personally knonm to me or has produced as identi cation. (SEAL) Pierce, FL as as SEAL 7 ITUy Fifth Mich an �ql NotaPury, State o MCmo October 6, 2014