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Home My WebLink AboutSUBMITTED PAPERSDate: ee Due: — r — COUNTY f L 0 R I D A 0 Electrical 0 Shed Planning & Development Services Building & Code Regulations Division Scq 2300 Virginia Ave. Fort Pierce, FL 34982 St 4 (772)462-1553 1149 coul7t�' SPECIALTY PERMIT APPLICATION .t!�Plumbing [I 1H[VAC 0 Fence 11 Demolition 0 Gas 0 Siding Seepage 2for instructions and addidonalpaperwork requiredfor specialty pennits 1. Location/Site Address: %o 4" WA�t 2. Parcel ID Number: �q0 - L, 0 S - 0 a3 � - 006 - 4 =4 Ap 9W —1 OLN A i A I max 000 i �"�= �MZ 3. Complete Description of Project or Work: �4tk Ltp 4. Owners Information 5. Contractors Information Name: ba"_J) FL Reg/Cert #: Address: 15�1 tl-40 POcity: 7-17 state: Zip: 5 qM Phone: 76 6. Value of Construction: S 5bD OWN ER'S AFFIDAVIT: N-r-ri P � ENT OWNER OR County Cert#: Business Name: I certify that all of the information contained in this application is correct and that all work wi compliance with all applicable laws reg �la Construction and zon in e N'5f�E RACTOR NAME,, SIGNATURE OF OWNE CONTRA�CT STATE OF FLORfDA, COUNTY OF ACKNOWLEDGED BEFORE THS DAY OF _4 WHOISPERSONALLY OWN OME OR WHO HAS COMWSSION NUMBER w1mm--w-10 M11FAMONE-IM112 U) 00 C" V. 0 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 $5,000. NOTICE TO OWNER: FAI -TO RECORD A NOTICE OF COM)VIENCEM mAY RESULT IN YOUR PAYING TWICE FOR EMENTS To YOUR PROPERTY. IF YOU ff. -D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATIORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCENIENT- EXENIPT: A/C -HEAT REPLACENM WrM CONTRACT UNDER $5,000. 1 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 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 Attack 2 piping schematics with tank sizelocation, 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 E[VAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full 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. IN THE CIRCUIT COURT FOR ST. LUCIE COUNTY, FLORIDA PR ATE DWISION IN RE: ESTATE OF LurenLV. Gibbons File No. Deceased. Division Probate JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY LETTERS OF ADMINISTRATION FILE S 3463315 D4/15/2010 at 10:30 AM (single personal representative) OR BOOK 3188 PAGE 520 - 520 Doc Type: LETADM TO ALL WHOM IT MAY CONCERN WHEREAS, Lure ie V. Gibbons, a resident of 1709 MarinerR 1-nmy. A —It. A, Fort Pierce, Floriqa 34950 died on January 13, 2010, owning assets in the State of Florida, and WHEREAS, Patti Raffensber—ger has been appointed personal representative of the estate of the decedent and has performed all acts prerequisite to issuance of Letters of Administration in the estate, NOW, THEREFORE, 1, the undersigned circuit judge, declare Patti Raffensb rge duly qualified under the laws of the State of Florida to act as personal representative of the estate of Lurene V. �!�ibbons, deceased, with full power to administer the estate according to law; to ask, demand, sue for, recover and receive the property of the decedent; to pay the debts of the decedent as far as the assets of the estate will permit and the law directs; and to make distribution of the estate according to law. ORDERED on '2010. kglx� 2010 RPR a aPM 9 39 Burton C. Conner Circuit Judge CLERk COUNTY Or CIRCUIT COURT SIATE U� �Ltmk)A ST. WCIE CWNTY TVS IS TO CERT IFY THAT TH 18 11 A TRUE A#0 CORRECT C(WY Of THE 00-16MAL. JOSEPN E. SWTH, CLERK Bar Form No. P-3.0700 @ Florida Lawyers Support Services, Inc. January 1, 2009 MM-1 St. Lucie County 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 applica laws, ordinances, building codes, and zoning regulations. Initial W I understand that the building official and inspectors are not there to design or give advice on how o meet the minimum code. Initial — 9F— 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 liabla 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 related dical cost, which could include loss of wages during recovery from their injury. Initial — ff- 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 Zon!iA'g Departmfft to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of uw_,Aal� of 20 JA_ Paz- Owner/Builder SWture STATE OF FLORIDA JJ COUNTY OF — The foregoing instrument was acknowledged before me this da 20 by who is personally own ho has produced as i i ication. Signature of NotaW Orype or Unt Name of Notary (Seal) Title: Notary Public Commission Number AUDREYB.HUMPHREY AKAY COMMISSION # DD 633047 v EXPIRES: March 6, 2011 80,dod Thu Notary Public Undernriters Aug. 5, 2010 3:39PM No. 6057 P. I WATER Comm SEWER RES METER SZ. WF MR $ SECURITY DEP SERVICE FEE SAMIS DAY FEE OVFATIME FEE 305-06 METER INSTALL. CFCAVATER FPUA CFC CFC/SEWER GUAR.REV LATERAL TOTAL ST. LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. pEERCL pL 349g2 NANIE L iA UN 9 V. &j68,0jy5 ACCT. # SERVICE ADDRESS 1 o IV �-e P16" 54q 9 2, BLOCK BILLINGADDRESS rft. Pr P—.1 NEPS C, a V9 Apr_.4- I r-� SO PHONE # MOVE IN/CLOSING DATE This 4PPlication hereby request azd authorize$ the Utility to render water an(vor sewage disposal sexvices to The Premim described above in aCcordance with the Utilities present or future rates, mles and regulations, which by reference 2re made a part of this contract. Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and rcgulatiorLs. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE CUSTO ER 4 A- I I - f r) SOCIAL SEC/ SIGNATURE U.UAJ- FED 11) -1 Ca 3 — 9'(0 - 10 4,0 POA NAME OF SPOUSE �A��N66ckLcfL - SPOUSE SOCIAL SEC.— —613 %, OFFICE USE ONLY DATE RECEIVED-15/To/v CASH CHK # '5194' RECEPal) BY?/�'— * NEF-rUNE 0 -',44ft COW 5/8 x 3/4 DMB21 PCs # 3 FULL INTEIR Ln- Q 100.0 101. 2 99.4 Property Appraiser - St.Lucie Courltv- FL Page I of I PROPERTY RECORD CARD Lurene V Gibbons (EST) Record: 1 of 1 <<Prev Next Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address� 4810 SUNSET BV ParcelID: 3402-608-0236-000-2 Sec/Town/Range 02:36S :40E Account #: 37328 Map ID: 34/02N Land Use� SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Lurene V Gibbons (EST) INDIAN RIVER ESTATES -UNIT 07- BLK 47 LOT 6 (MAP 34/02N) (OR Address. 1597 SW Harbour Isles Cir 1413-2006: 2667-800: 2968-2115) Port St Lucie FL 34986-3403 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 95800 Land Value: 24200 Acres: 0.23 4/29/2008 100 01 TR 2968/2115 Assessed: 95800 Building Value: 71600 9/20/2006 100 01 WD 2667/0800 Ag.Credit: 0 Finished Area: 1690 SqFt 7/12/2001 84900 00 WD 1413/2006 Exempt: 12/29/1998 100 01 WD 1193/2345 Taxable. 4/1/1977 36000 00 Cv 0266/2473 Taxes 1873.49 BUILDING INFORMATION Exterior Features View: RoofCover. TN - Metal RoofStruct: HP - Hip ExtType: HC- - HC- YearBlt 1977 Frame Grade: C_ - C_ EffYrBIt: 1977 PrimeWall: VS - Vinyl Siding StoryHght: 0010- 1 Story No.Units I SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmlntWall: DW - Drywall FullBath 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinklecl� 0 Special Features and Yard Items Land Information Type YIS Oty Units Qual. Cond. YrBIt. Nc Land Use Type Measwe Depth DWC - Driv-Concret Y 1 720 AV AV 1977 1 0100-SF Res BI -Front Ft 80 125 FEN4 - CHAINLINK4' Y 1 185 AV AV 1999 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=340260802360002 8/4/2010 Property Appraiser - St.Lucie Countv- FL Page I of I PROPERTY RECORD CARD Lurene V Gibbons (EST) Record: 1 of 1 <<Prev Next Spec.Assmnt Taxes Exemptions Permits Home Print Prop�rty Identification Site Address� 4810 SUNSET BV ParcelID ,\\,�CIECO 3402-608-0236-000-2 -\\ - Sec/Town/Range 02 :36S :40E Account #: 37328 Map ID: 34/02N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Lurene V Gibbons (EST) INDIAN RIVER ESTATES -UNIT 07- BLK 47 LOT 6 (MAP 34/02N) (OR Address: 1597 SW Harbour Isles Cir 1413-2006: 2667-800: 2968-2115) Port St Lucie FL 34986-3403 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 95800 Land Value� 24200 Acres: 0.23 4/29/2008 100 01 TR 2968/2115 Assessed 95800 Building Value: 71600 9/20/2006 100 01 WD 2667/0800 Ag.Credit� 0 Finished Area: 1690 SqFt 7/12/2001 84900 00 WD 141312006 Exempt� 12/29/1998 100 01 WD 1193/2345 Taxable 4/1/1977 36000 00 Cv 0266/2473 Taxes: 1873.49 BUILDING INFORMATION Exterior Features View. RoofCover. TN - Metal Rool'Struct: HP - Hip ExtType: HC- - HC- YearBlt: 1977 Frame: Grade: C_ - C_ EffYrBIti 1977 PrimeWall: VS - Vinyl Siding Storyl-Igft 0010- 1 Story No.Units: 1 SecWall� Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: 112Bath: 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 YrBIt No. Land Use Type Measure Depth DWC - Driv-Concret Y 1 720 AV AV 1977 1 0100-SF Res BI -Front Ft 80 125 FEN4 - CHAINLINK 4' Y 1 185 AV AV 1999 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?prcIid=340260802360002 8/4/2010