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Home My WebLink AboutSUBMITTED PAPERSDate: C lL t-11 I Fee Due: - I* I Receipt# '-t Permit # COUNTY F L 0 R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCANNED BY St. Lucie County SPECIALTY PERMIT APPLICATION CiElectrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. ite Address: ajo 0 I l (') cAS I Q ky, U e; 2. Pmw&ff0'1Nmu cr: 143 a — V 6 (P C) y `9 L — C)b 0 " Ok Ujtica Use Only Section Township Range Map Page Zoning Land Use Initials , Ta 3 IS qhr-1 013dGl 3. Complete Description of Project or Work: gee M o J e AAA � e—`a C e w 1 Tl4 new ?cy,...)er v%e-rer Soclte-f '-1J ok 4. Owners Information 5. Contractors Information Name: -To, M e 5 e e o FL Reg/Cert #: Address: b !" t n) S' e y I `ly e— County Cert#: City: roCT Z; State: t^ I' Business Name: Zip: I l� Phone:1y 1 2 0 5,3 9,41lone• 6. Value of Construction: $ �b0` Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in liance with all applicable laws regulat' nstruction and zon' M2 compt- -een PRINT OWNER OR CONTRACTOR NAME SI ATURE OF OWNER OR C NTRACTOR STATE OF FLORIDA, COUNTY OF ` I ACKNOWLEDGED BEFORE ME THIS C�-// DAY OF _, 20/Y BY V � 116,57 ,�� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED TQ�� [.11.�i� 16 S / �`J7� AS IFICATION. ` y :)MMIS�I:ic:�245$1 EXPIRE � a..°ouu;lcUpdernnt� SIGNATURE OF NOTARY TYP NAME OF NOTARY thNNO 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 04/26/2010 Planning & Development Services Department AE 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 applic aws, ordinances, building codes, and zoning regulations. Initial . I understand that the building official and inspectors are not there to design or give advice on h eet Initial the minimum code. 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 dispI es. itial 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 lia e Initial cost of the license. I understand that if any person that is unlicensed and uninsured gets injured on my construct on project - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate edical Initial W. cost, which could include loss of wages during recovery from their injury. 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 2 � day of eCe M � F (_of 20 a. erBuilder Signature STATE OF FLORIDA)--,- COUNTY OF X�e� day of , 20 , The f oing instrument was acknowledged before t who is personally known to me, or who has roduce by as identification. :2 ^"°• DAWN MILONE ?Q.COMMISSION N DD 852587 ignature of Notary Type mt Name of Notary `'` `Se pIRES: March 22, 20t3 FP • •� Bonded Thru Notary Public Underwriters Title: Notary Public Commission Number f,t,• _ SLCPDSD Revised 07/22/2010 Planning & Development Services Department • Building & Code Regulations Division • 2300 Virginia Ave Fort Pierce, FL 34982 _.._ 772-462-1553 Owner Builder Affidavit — Electrical Contracting DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 Community Development Directpr to the Flqrida State Department of Professional Regulation. Signed and acknowledged on this Z (`' day of V e C F 20�IO1 1 w� • WNER/BUILDER SIGNATURE STATE OF FLORIDA COUNTY OF _ - cy�� The foregoing instrument was acknowledged before me this C>2 day o , 20 by s pr duced—L " hin. M JAA ature of Notary Title: Notary Public SLCPDSD Revised 7/23/2010 who is personally known to me or Print name of Notary Commission Number as identification. DAMIION'L IL "4a DpIpMISSION A DD 8�13 MV Match 22, IS Puck �'�,B •, (y iFa� hru Notety St. Lucie County Owner Builder Affidavit -Electrical Contracting JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3658285 OR BO, 349 PAGE 493, Recorded 12/20/2011 ' —3:27 PM Doc Tax: $119.00 tP M r THIS INSTRUMENT PREPARED BY AND RETURN TO: Florida Title & Escrow Professionals, Inc. 141 NE 3rd Avenue, 5th FL Miami, Florida, 33132 Our File No.: 41228-11 Property Appraisers Parcel Identification (Folio) Number: 1432-806-0026-000/2 The actual purchase price or other valuable consideration paid for the real property or interest conveyed by this instrument is $17,000.00. Florida Documentary Stamps in the amount of $119.00 have been paid hereon. LINE SPECIAL W NT DEED, ma j1h ISth ay f Dece er011 by ull�r R IEstate;s I.LC,a Florida li ite liability comp whose post o tce add, s is 777 r G frayRoadBeach, FL 33140 here' cal d the Grantor, omes G een man and Jewel lam ng Gren1 woman whosA post tce ddrcss is 2 1gsley rive Fort Pierce, FL 34946, her ina er called the (Where used herein th terms "G tor" and "Gr tee" inc/ de all the parig s to this instrui tP!nt and the heir , legal representam nd ,gns of individuals, aird-thesirccessors and assigns o corporanons) W I T N E S S E T H: That the Grantor, for and in consideration of the sum of TEN AND 00/100'S ($10.00) Dollars 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 ST. LUCIE County, State of Florida, viz.: Lot 158, SHERATON PLAZA UNIT THREE REPLAT, according to the map or plat thereof, as recorded in Plat Book 16, Page(s) 12, of the Public Records of St. Lucie County, Florida. Aka: 2601 Kingsley Drive, Fort Pierce, FL 34946 Subject to: 1. Matters as shown on Plat of Sheraton Plaza Unit Three Replat according to the plat thereof as recorded in Plat Book 16, Page 12, Public Records of St. Lucie County, Florida. Ter�Pe and did t I 5, aff clad y Apprt Book10 Pu 'c Records 3. � Taxes for the year 2012 A*d thereafter. HER— wi f all TO HAVE AND TO HOLD, the same in fee simple forever. AND, the Grantor hereby covenants with said Grantees that 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, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2011. IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the d and ar first above written. Sigyed,�ealed and deliy.Ued in the presence of: asysinaging Member of Name #2 N #2 Printed Name STAT&QFF FLO�R D'A COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this 15th day of December, 2011, by Robert Balogh, Managing Member of Muller Real Estate Holdings LLC who is personally known to me or has produced as identification and ❑ did ❑ did not take an oath. SEAL P rrtupc t oree�Ru Ytt�7'sn tty rgMMISSION 11 EE 055207 t. I �E Notary u ' c EXPIRES: Febtuaty tt, 2015 4 5a •......b�'` Ba�aed firuNWryPutAc l)Merr�ilen Printed Notary Name My commission expires: c. File No.: 41228-11 Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Muller Real Estate Holdings LLC Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��,UCIECO Site Address: 2601 KINGSLEY DR ParcellD: Sec/Town/Range: 32 :34S :40E Account #. 11240 Map ID 14/32S Land Use: SF Res Zoning, RS-4 City/Cnty: St Lucie County �! Ownership and Mailing Legal Description Owner Muller Real Estate Holdings LLC SHERATON PLAZA -UNIT THREE REPLATLOT 158 (OR 3338-1009) Address: 777 Arthur Godfrey Rd Ste 400 Miami Beach FL 33140 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final 36400 Land Value: 5300 Acres 0.21 10/26/2011 100 0112 SP 3338 / 1009 Assessed: 36400 Building Value: 31100 2/14/2011 100 0112 CT 3272 / 0136 Ag.Credit: 0 Finished Area: 1042 SgFt 3/27/2008 100 01 QC 2974 / 0097 Exempt 2/2/2007 100 01 PR 2775 / 1160 Taxable: 1/1/1972 18300 00 CV 0198 / 2728 Taxes: 740.57 BUILDING INFORMATION 49 _7_1 r Exterior Features View: RoofCover. ExtType: HD -HD YearBlt: Grade: D - D EffYrBlt: StoryHght: 0010 - 1 Story No.Units: Interior Features BedRooms: 4 Electric: FullBath: 1 HeatType. 1/26ath: 1 HeatFuel %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual. Cond- YrBlt. 2CNT - 2CNT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 SA - Asph Shingle RoofStruct: HP - Hip 1972 Frame: 1977 PrimeWall: BP - Conc Block 1 SecWall: MX - MAXIMUM PrmintWall: DW - Drywall FHA - FrcdHotAir AvgHUFI STD ELEC - Electric Prm.Flors: CU - Carpet 100 %Sprinkled 0 Land Information No. Land Use Type Measure 1 0100-SF Res 205 -Front Ft 78 Depth 120 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclld=143280600260002 12/21 /2011