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Home My WebLink AboutSUBMITTED PAPERSFee lc..__ ❑ Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division SCA 2300 Virginia Ave. ��Ep Fort Pierce, FL 34982 By (772)462-1553 St. quote County SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ HVAC (Fence ❑ Demolition ❑ Gas ❑ Siding See Hare 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: i �'�� Z — 000 Township Range Map Page Zoning Laud Use ] uitials Office Use Section Only 3. Complete Description of Project or Wor c /1 4. Own rs Information 5. Contractors Information L V Name: if /"/,a - i! CC ti FL Reg/Cert Address: 4V ✓l o S o 2 / IJ , County Cert#: � t Ci 41• fir~ • (, State: ��o iZ ®4 Business Name: ty: Zip: 0 13 L) of rPhone: ®S'/-7 Phone: Fax: 6. Value of Construction: S OWNER'S AFFIDAVIT: I certify that all of the information contained this app 'cati correct and that all work will be done in compliance with all applicable laws regulatin co truc n zoning. -516 TO PRINT OWNER OR CONTRACTOR NAME OF WONVIAMOR STATE OF FLORIDA, COUNTY OF ;�� pp ACKNOWLEDGED BEFORE ME THIS.. �a DAY OF e C • 20/0 BY 9-L JQb V P /�. 60 'Qmna , WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED _ m q7 • �2 v /s7 _ AS ID CATION. w _ z DecGi 77 )M y (Sea) = N o PRINN O NOTARYTYPE O SI ATUREOFN ARY IfV�r YL COMMISSION NUMBER 1-104-4 �I-4 J 14,4.0RDA�0%eCENUM MAY RESULT IN YOIJIi P G TWICE FOR NOTICE TO OWNER: FAILURE TO RECO IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CO SULT YO LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMUONCEMENT. EXEMPT: AIC BEAT REPLACEMENT WITH CONTRACT UNDER $5,000. J-Fad- I `Y �� 1 , ,(, /�� NOTICE TO OWNER: FAILURE Try ;;CORD A NOTICE OF COMMENCEMENT MA.'_-` ``�.ESULT IN YOUR PAYING TWICE FOR IIviPROVEN:a:,.a5 TO YOUR PROPERTY. IF YOU INTEND ',, )BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR$ RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: 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 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 Projector Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of properly 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. "L 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 -fag 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 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. 4oNl P) (+ E FILE COPY 'P?v�'u f- . He Edit Go To Favorites Help Favorites sucgestec'<tes S!'Ce -'eavy - Property Appraiser - S-t.Lud-e... http:jPsrfch Mou&nebrh... X Page - S. fety TOOIS F, !Ile C-)Fl2s-/. - Ei 1?- 0. 170 ,a L "0 vt Cp I v L- t7— 0 20* 0 Ito, In to '0 z 2 .46 3 % 0 0 zO 4 94 13 13 0 5 5 14 14 [194 r 06 Is 0 Ju T U 7 _j 7 I 3 17 MU7 _j 51 IS is .0 6d go ISO' ZO .0 *LVA —T. H. 8c j-"y. 37.20 x 26.00 -n J 2f Done Unknown Zone , Dec 22, 2010 12:35 PM St. Lucie Coun>, Building & Zoning Department 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 applicablelaws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on howto rlieet the minimum code. Initial r-3-:,�_• 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 liab 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 relate ecli,qal cost, which could include loss of wages during recovery from their injury. Initial n l' J 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 DeparWwnt to the Florida State Department of Professional Regulati . Signed and cknowledged on this IZ21 day o _ of 20 / 0. WWW".. 4,/V. Owne uilder igna e STATE OF FLORIDA COUNTY OF The fore oink in ument was acknowledged before me this_ day of , 20_J O , by who is personally known to me, or who has produced as identification. -� qq 7. a& o. Is-7 Dom✓Signature of Notari Type Mprint Name of Not (Seal) Title: Notary Publ c Commission Number =4,Y ;6yc I AUDREY B. HUMPHREY t MY cOMMISSION # DD 63304 <= EXPIRES: March 6 2011 oe Y %'F9F Bonded publicUndenv Underwriter, r� 3 = KEN PRUITT PROPERTY APPRAISER • Saint Lucie County 2300 Virginia Avenue Fort Pierce, Florida 34982-5652 NAME: Gladys Grecco ADDRESS: 895 SE Airoso Blvd, Port St Lucie, FL 34983 PARCEL ID: 3419-545-0088-000-9 CLERK: knighto DATE: 12/22/2010 LOCATION: Inhouse Your application for a property tax exemption is being held in a suspense file, pending the receipt of further information checked below. Please return this form along with copies of the following as soon as possible to complete your application process. Florida Drivers License ❑X Declaration of Domicile* ❑X_ Electric Bill ❑ Florida Vehicle Registration ❑X Probate Documents* ❑ Death Certificate ❑ Florida Voters Registration 0 Final Judgment (Divorce) ❑ Marriage License ❑ Social Security Number ❑ Power of Attorney ❑ Entire Trust ❑ Alien Registration Card ❑ Guardianship Documents ❑ Affidavit ❑ ert icatton o no resi ency ase property tax exemption on property ocate -at: 32-56 32ND ST, ASTORIA, NY 11106 Other: *DOCUMENT MUST BE RECORDED WITH THE ST. LUCIE COUNTY CLERK OF COURT Additional Exemption for Persons Over 65 Sworn Statement of Adjusted Gross Income (DR501SC) ❑ Income Tax Return for tax year ❑ IRS form 4506 ❑ Verification of household income ❑ Other: VA Disability Letter ❑ Other: **Please submit via mail or fax. Mail to: Ken Pruitt St. Lucie County Property Appraiser 2300 Virginia Avenue Room #107 Fort Pierce, FL 34982-5652 Attn: EXAP Disability Exemption Income Affidavit (DR501A) ❑ Physician's Certification (DR416) ❑ Phone: (772) 462-1000 Fax: (772) 462-1058 If all information is not received by MARCH 1`, your application will be processed for the exemption(s) you qualify for on that date. *All information requested for the Additional Exemption for Persons Over 65 should be received by May I for prompt consideration. C►E Cp KEN PRUITT PROPERTY APPRAISER • Saint Lucie County • 2300 Virginia Avenue Fort Pierce, Florida 34982-5652 (772) 462-1024 Exemption Department IMPORTANT EXEMPTION INFORMATION 1.. Attached --is -your .official receipt for- your application. for -Homestead and/or other exemptions for the year --indicated. This is- the only receipt you will receive for this year. 2. If it is determined that you _are not entitled to the Homestead Exemption_ for Which you have applied, you will be sent an official denial by certified mail before July 1. You have the right to appeal this decision to the Value Adjustment Board by filing a petition with the St. Lucie County Clerk of Court on or before the 30th day following the mailing of the denial notice {Florida Statues 194.011(3d)}. 3. In August, you will receive the NOTICE OF PROPOSED PROPERTY TAXES (TRIM NOTICE) which will advise you of the proposed taxes, the proposed --- ----assessed—value -and—the--exemptions-- for —which— you have—qualif ed-. - - If-- the - — -- exemption is not indicated on the form, contact us immediately. You will be asked to submit your receipt to verify you .have applied for an exemption. 4. A new application will be required if you change your deed to add a spouse or if you convey your property into a trust. 5. Homestead and other exemptions do not move with you. If you purchase and/or move to a new residence, it is your responsibility to reapply on your new home. 6. It is your responsibility to file for any exemptions- for which you may be entitled and to inform this office of any changes in your exemption status. For additional information,'please visit our website at www.paslc.org. 7. If your taxes are escrowed by your mortgage company, please notify them that you have filed for a property tax exemption. 8. If you rent your Homestead property for any length of time, your Homestead Exemption will be affected. Please contact our office for further information. i Florida Department of Revenue �� DR 501 Original Application for Ad Valorem Tax Exemption 43128 R. 12/02 ARTMENT OF REVENUE Saint Lucie OF REVENUE County, Florida Tax year 2011 New XXXXXX Change Additional Property identification number: 3419-545-0088-000-9 Applicant/Co-applicant Name and Address: Gladys Grecco Miguel Grecco Permanent Florida residency required 895 SE Airnsn Rlvd as of January 1 $25,000 Homestead exemption *(see additional information) 0 - - $500 Widow's exemption -❑ Port St Lucie FL 349832010 -$500 Widower's exemption ❑ Legal Description: $500 Disability exemption 11 $500 Blind persons exemption 11 RIVER PARK -UNIT 6- RI K 61 LOT 9 (MAP 34/284) (0R $5000 Disabled Veteran 11 _3118-170) Total and permanent disability exemption — Quadriplegics - (Documentation required) ❑ Service connected total and permanent disability exemption (Documentation required) ❑ Exemption for disabled veterans confined to wheelchairs Applicant Social Security No.: 102548987 (Documentation required) ❑ ' Total and permanent disability exemption Co -Applicant Social Security No.: 100545503 (Documentation required) ❑ '__If you wish to. apply for an -additional homestead -exemption - enacted by local ordinance for persons age 65 and older section 196.011 (1), Florida Statutes. The social security numberxnll be used to verity you must file form DR-501SC. However, you must either taxpayer identity information, homestead exemption information submitted to property receive, or apply for, the regular homestead to get the 65 appraisers, and intangible tax information submitted to the Departrnent of Revenue. and older additional homestead exemption. If you have Marital status: ❑ Single B Married already received regular homestead exemption, you do not ❑ Widow ❑ Divorced ❑ Widower need to file another form DR-501. Seniors Exemption ❑ Did you file tax exemptions last year? ❑ Yes El No Ownership information Where: If no, your last year's address Percent of ownershi� Type of deed SP Recorded: Boole 3118 0170 3�nd St,Actnria,NY� 1 106 Pa _37-56 Date recorded 8/14/2009 Date of deed 8/5/2009 — P--roof of -residence for -all owners Owner - Spouse Other owner Give address of each owner not residing on property Date you last became a permanent resident of Florida 12/8/2010 12/8/2010 Date of occupancy 12/8/2010 12/8/2010 Florida driver license number (Date) 00000000000 NY 000000000000 NY (Date) (Date) Florida vehicle tag number Not FL Registered Not FL Registered Florida voter registration number if U.S. citizen g (� ) Not FL Registered (Date) 9� (Date) Not FL Registered (Date) Immigration number (Alien Card — if not a U.S. citizen) (Date) (Date) (Date) Declaration of domicile Res. date Res. date Res. date Date of birth 7/29/1951 10/14/1947 Current employer Address listed on your last IRS return 32-5632nd St, Astoria, NY, 11106 32-56 32nd St, Astoria, NY, 11106 I hereby authorize this agency to obtain information necessary to determine my eligibility for the exemption(s) applied for. NOTE: If all information iS ilot rec@i'red by March iSt, Your app:icatilon 'Mini be processed for whatever exeiirlitlons you qualify for on that date. I hereby make application for the exemptions indicated and affirm that I do qualify for same under Florida Statutes. I am a permanent resident of the State of Florida and I own and occupy the property described above. I understand that section 196.131(2), Florida Statutes, provides that any person who knowingly and willfully gives false information for the purpose of claiming homestead exemption is guilty of a misdemeanor of the first degree, punishable by a term of imprisonment not exceeding 1 year or a fine not exceeding $5,000 or both. Further, under penalties of perjury, I declare that I have read the foregoing application and the facts in it are true. Gladys Grecco X knighto Signature of applicant Signature of co -applicant Signature of deputy 12/22/2010 1:09:06 PM 917-586-9466 knighto IP-10.1.28.134 Date Phone number Entered by This application must be filed with the property appraiser on or before March 1st The -information contained in this application will be provided to the Department of Revenue and the Depart- ment and/or the property appraisers are authorized to provide this information to any state in which the applicant has previously resided, pursuant to 196.121, Florida Statutes. Social Security Numbers will remain confidential pursuant to sections 193.114(6) and 193.074, Florida Statutes. Notice: A -tax -lien can be imposed on your property pursuant to 196.161, Florida Statutes. Section 196.161 (1) provides: (1) (a) "When the estate of any person is being probated or administered in another state under an allegation that such person was a resident of that state and the estate of such person contains real property situate in this state upon which homestead exemption has been allowed pursuant to s. 196.031 for any year or years - -- -----within--10-years immediately -prior to -the -death -of -the -deceased; then within 3-years- -- - --- after the death of such person the property appraiser of the county where the real property is located shall, upon knowledge of such fact, record a notice of tax lien against the property among the public records of that county, and the property shall be subject to the payment of all taxes exempt thereunder, a penalty of 50 percent of the unpaid taxes for each year, plus 15 percent interest per year, unless the circuit court having jurisdiction over the ancillary administration in this state, determines that the decedent was a permanent resident of this state during the year or years an exemption was allowed, whereupon the lien shall not be filed or, if filed, shall be canceled of record by the property appraiser of the county where the real estate is located. (b) In addition, upon determination by the property appraiser that for any year or years within the prior 10 years a person who was not entitled to a homestead exemption was granted a homestead exemption from ad valorem taxes, it shall be the duty of the property appraiser making such determination to serve upon the owner a notice of intent to record in the public records of the county a notice of tax lien against any property owned by that person in the county, and such property shall be identified in the notice of tax lien. Such property which is situated in this state shall be subject to the taxes exempted thereby, plus a penalty of 50 percent of the unpaid taxes for -each year and 15 percent interest per annum. However, if a homestead exemption is improperly granted as a result of a clerical mistake or omission by the property appraiser, the person improperly receiving the exemption shall not be assessed penalty and interest. Before any such lien may be filed, the owner so notified must be given 30 days to pay the taxes, penalties, and interest. ST. LUCIE COUNTY PROPERTY APPRAISER WRITTEN STATEMENT REGARDING THE COLLECTION.AND USE OF SOCIAL SECURITY NUMBERS This statement is being .provided to you pursuant to section 119.071(5)(a)2 and 3, Florda Statutes"(2007) Nk Social Secu�TIIy Numbers are uni ue numenc identifiers #hat are used b _ r J - - this office to is ratify; Verify; tr ck ancl�seard 4�.1, formatio�7 "m conjunc#ion with nk determining en`tit ementsfo�exe a `tion��_" : p x# r6T45 Add�onallyy the St Lucie County PropertykW Appraisers Officte is required t ""dw by section�1'96 01�1(1)(b), Florid"a Statutes (2007) andFlorida Administrative Code Rule 12D 7�01,( +, to collect,on each ew pphcation- I Wxemption under 091. sections 196.031�196 08�1;�,196 96,�101Mand 196 202, Florida Statutes _ ; �s dta t z } _ .._. _ ... . (2007), the Social Security Nurmber�of� b licant and h�s�or her s ouse, if an f pry p Y r 3 _ �� a s ,ti k �.t'q��.yy r�i+..fN Pursuant to~ secfion 1x93}074,� Flond4 Sta#ute9 (2007�� exemption pt applications are confidential returns vq ez 2300 Virginia Avenue Fort Pierce, Florida 34982-5652 Telephones: 772-462-1000 *Facsimile 772-462-1057 1 KEN PRUITT ST. LUCIE COUNTY PROPERTY APPRAISER 2300 Virginia Avenue Room 107, Fort Pierce, FL 34982 Ph:772-462-1000 Fax:772-462-1058 www.paslc.org - STATE- BENEFIT VERIFICATION FORM I/We have applied for the Florida Homestead Exemption on the property referenced below for the 2011 tax year: PARCEL ID 3419-545-0088-000-9 APP ID 1012-00417 APPLICANT(S): Miguel-Grecco Gladys Grecco Please Print Signature Please Print Signature Date Date I/We currently do not receive a residency based property tax exemption or other benefit for the 2011 tax year on property that I or my spouse own at: STREET ADDRESS: 32-56 32 St CITY: Astoria STATE: NY ZIP:11106 FOR OFFICIAL USE ONLY I certify that the above applicant(s) do not receive a residency based exemption or other benefit on the above referenced property for the tax year. PRINT NAME: SIGNATURE: DATE: TITLE: PHONE: AGENCY: