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Home My WebLink AboutSUBMITTED PAPERSe Due: AU - i u - I Keceiptff Planning & Development Services Building & Code Regulations Division �COUNTY 2300 Virginia Ave. F L 0 R I D A Fort Pierce, FL 34982 (772)462-1553 Permit # 10 SPECIALTY PERMIT APPLICATION 0 Electrical �;Vrlumbing [3 RVAC E3 Fence 0 Shed 0 Demolition 0 Gas 0 Siding Seepage 2for Instructions and addidonalpaperwork requiredfor specialty permits �' t 1. Location/Site Address: lga� P0 r H cy7d 2.ParceliDNumber: SQA�lv"'b St. t sy ucie cout7ty Office US� Section ownsilip IVIAP ragr Only M 3. Complete Description of Pr ect or Work: I , � I I I .0j , , 4. Owners Information 5. Contractors Information Name: y-, 0 14p- Ej c 0 -- FL Reg/Cert #: Address: P)CNA 9hJL--- County Cert#: city: State: P. - Business Name: Zip: Phone: -7 7;� - S 77)- Phone: ax: 6. Value of Construction:$ OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is coffect and that all work will be done in compliance with all applicable laws regulating =consctio and zoning. f 4, Llc�� ILL SIGNATURE OF OWNER OR CONTRACTOR PRINT OWNER OR CONTRACTOR NAME C��STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME TWS DAY 0 20_La BY WHO IS PERSONALLY KNOWN TO NE _OR WHO HAS PRODUCED _ j DAWN MILONE IDENTIFICATION. My CommISS10t4 # DO 852587 E)(Warch 22,2013 /J m �T Bonded ru aryPubkUrKWWV% I �TU 0 TYPF OR PRINT NANE IGNATUREOFNOTAR�X- 9 CONMSSION NUNMER W 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 COMMENCEMIENT. EXEMPT: AIC-IfEAT REPLACEMENT WITH CONTRACT UNDER $5,000. NOTICE TO OWNER: FAILURE T CORD A NOTICE OF COUNIENCEMENT M/ ESULT IN YOUR PAYING TWICE FOR WROVEM- ; TO YOUR PROPERTY. IF YOU INTEND )BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT-FORNEY BEFORE RECORDING YOUR NOTICE OF CONNffiNCENIENT. EXENIPT: A/C -HEAT REPLACEMENT WFM CONTRACT UNDER $5,000. INSTRUCTIQNS 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 111) Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction indicate the street address or general location of property 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. 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 0 Siding Attach 2 copies of manufactures specifications 0 HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or fuH 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 appfications will be accepted for processing after 4:30 P.M. For assistwce 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 he 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. JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3500679 OR B 3218 PAGE 489, Recorded 08/03/2010 10:34 AM Doc Tax: $602.00 A Prepared by and return to: The Law Offices or Ruiz & Clayman 3471 N Federal Highway STE 506 Fort Lauderdalt_FL 33306 File Nurrl Will dil I --or W#r#nty This W*r�anty De!�ade this hkt day ofjpc'2020 b4ween Matthev) Hand and Jok!�� post ofillce address is 1202-Pa—rkrand Blvd., Fort Pier-c-G-M 34982, grantor, and Kristelle Alie Richwine whose post office address is 6112 Vecca Drive, Fort Pierce, FIL 34982, grantee: (Whenever used herein the ternis "grantor" and "grantee" include Lill the parties to this instrument and the heirs. legal representatives, and assignsor individuals. and the surcessors and assigns ol"corporations. trusts and trustm) Witnesseth, that said grantor, for and in consideration ofthe sum ofTEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged. has granted. bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Saint Lucie County. Florida to -wit: The East Y. or Lot 18 and all of the Lots 19 and 20, Block 2, Unit Two Riverdale Yacht Club Estates, accordhito-4o-the Plat thereof. rve4rded in Plat Book-fi-nage-40-D-f the PubIIsJ1a=ds of St--LjLck nty, Florida. r [D . ti. " hr 0,_, _.. _.0._9 *I dnt�i with all the To Haik_and to HoldjWe same 4jee simple or in anywise a�poaining. And the grantor hereby covenants with said grantee 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, that the grantor hereby fully 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, 2019. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Sig cdanddeli redinourpres c: —(Seal) Witness Namer �. \rk-DiFF Matt ew Hand Witness DoublaTintee OR BOOK 3218 PAGE 490 State of Florida County of Broward The foregoing instrument was acknowledged before me this 21st day of June, 2020 by Matthew Hand, who [_] is personally known or [XI has produced a driver's license as identification. [Not; Warranty Deed - Page 2 DoubleTime- St. Lucie County Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATENTNT F.S. 489.103 (7) EXEMTTIONS 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 outbuil ' dings, 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 apphcabl "ws, ordinances, building codes, and zoning regulations. Initial .,�-'dk I understand that the building official and inspectors are not there to design or give advice on h t t the minimi m, code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and r 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 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 rela ?(� edical cost, which could include loss of wages during recovery from their injury. Init 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 ZQ14119 Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this f 20 dayof_QQC\01* .0 jv� Owner/Builder Signature /I STATE OF FLORIDA COUNTY 01"�� L—L) C5_tZ day 20 egoing instrum. t as a�knowledged before me this to me, or who has - y " t) �0 r1r 1_� N who is personalty known uced I V20identification. DAWN MILCW MY COMMISSIM om ob!%7 Signature of Notary Type or Print Name of,-Nl 13 ,W,Z,yQ S � 41,0h Title: NotM Public Commission Number ? Fort Pielve Utilities Authority "Committed to Quality" Key Accounts 206 S. 6th Street P.O. Box 3191 Fort Pierce, Florida 34948-3191 Job Location 1202 PARKLAND BLVD Account Name KRISTELLE ALIE RICHWINE Contact Name KRISTELLE ALIE RICHWINE Billing Address Telephone Phone (772) 466-1600 Fax (772) 465-6984 Invoice Number KA-92-10 Fax Mobile PCN FEI # Accounting Codes 9� si�e Description Water Meter and/or Service Installation Water Security Deposit Fees 785.00 06-3-06043701-0000 1 1 06-2-000-23500-0000 Cust. Type 0 Commercial (* Residential 60.00 06-3-06048800-0000 Water Initiation of Service 40.00 06-3-06043702-0000 - Water Capital Improvement Charge Water ERCs 1 $1,841.00 06-3-060-49525-0000 *Water Accrued Guaranteed Revenue Charge $377.11 Meter Verification Fees 0.00 06-3-060-43701-0000 City Limits 0 Inside (* Outside DDC 0.00 08-2-000-23500-0000 Wastewater Security Deposit 0.00 08-3-08048800-0000 -- Wastewater Initiation of Service 0.00 08-3-08043702-0000 Wastewater Capital Improvement Wastewater ER.Cs 0 0.00 08-3-080-49525-0000 *Wastewater Accrued Guaranteed Revenue Charge $0.00 06-3-06043701-0000 Lien Fees $0.00 0.00 0.00 *Water and Wastewater AGRC fees are good until the end of the month. If not received by the end of Down Payment the month, new fees will apply. Please contact our office for updated fees. Invoice Total Description for Service Order INSTALL 5/8 X 3/4" WATER METER AND SERVICE - NO SEWER Total Paid Date Paid Check Number 0.00 3,103.11 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 abandonment. Contact the Healh Department at (772)873-4931. Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion ofthe project. Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and construction conflicts, the cu'stoter 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. Key Accounts Rep. Customer's Signature Printed Name Date 8/3/2010 Date Fort Pierc Jtilities Authority 206 S 6th Street Fort Pierce, FL 349,50 On Behalf of: KRISTELLE A RICHWINE 1202 PARKLAND BLVD FORT PIERCE FL 34982 USA Receipt Number: Receipt Date: Customer ID: Location ID: Re Service Address: PYMT00002409276 8/3/2010 224434 10005258 1202 PARKLAND BLVD FORT PIERCE FL 34982 USA Total Amount Received by Check $3,043.11 Fort Pierc itilities Authority 206 S 6th Street Fort Pierce, FL 34950 On Behalf of: KRISTELLE A RICHWINE 1202 PARKLAND BLVD FORT PIERCE FL 34982 USA Receipt Number: Receipt Date: Customer ID: Location ID: Re Service Address: PYMT00002409275 8/3/2010 224434 10005258 1202 PARKLAND BLVD FORT PIERCE FL 34982 USA Total Amount Received by Check $60.00 Property Appraiser - St.Lucie 0—tity, FL Page I of I PROPERT't RECORD CARD MaTthew B Hand Record: I of I <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 0 Site Address: 1202 PARKLAND BV ParceilD: 3409-703-0012-000-9 NX, Sec/Town/Range: 09:36S:40E Account* 40227 MapID: 34/09S Land Use: SF Res Zoning: IRS -3 City/Cnty� St Lucie County Ownership and Mailing Legal Description Owner: Matthew B Hand Joanne B Hand RIVERDALE YACHT CLUB ESTATES -UNIT 2- BLK 2 E 1/2 OF LOT 18 Address: 900 Seminole Dr AND ALL LOTS 19 AND 20 (0.36 AC) (OR 1006 Fort Pierce FL 34982-7648 More... Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 121800 Land Value: 34900 Acres. 0.36 3/27/1996 90000 00 WD 1006/1013 Assessed: 103172 Building Value: 86900 7/5/1990 19000 00 VVID 0699/1731 Ag.Credit: 0 Finished Area: 1728 SqFt 1/1/1981 12100 00 Cv 0350/2412 Exempt: 50000 Taxable: 53172 Taxes: 1233.27 BUILDING INFORMATION ii� Exterior Features View: RoofCover. SA - Asph Shingle RoofStruct: GA - Gable Exffype� HC- - HC- YearBlt: 1993 Frame: Grade: C_ - C_ EffYrBIt 1993 PrimeWaIL VS - Vinyl Siding StoryHght: 0010 - 1 Story No.Units: 1 SecWall� Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmlntWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: STID 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measule Depth 3CNT -3CNT S 1 1 AV AV 1993 1 0100-SF Res 250 -Front Ft 125 125 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 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?prclid=340970300120009 8/3/2010