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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO JUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r j Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: �X0-' \'-A L �L JL LegalDescription: Property Tax ID#: '-' LJ`- J Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF `WK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _Sprinklers _Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $, (�'� Utilities: —Sewer _Septic Building Height: TRA R: Nam Svc Name: Address: 5 Company: City:1� -Cjs-� Stater Address: Zip Code: Fax: City: State: IPhone No. —7-1 Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State 71,01,nty License If value of construction is 2500 or more,a RECORDED Notice of Commericement is required. Planning& Development Services Department Building& Code Regulations RPM M.- - 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 for your use and occupancy. You may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy. You may not build or improve said structures for the purposes of selling or leasing that building. If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved 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. Your construction must comply with all a plicable laws,ordinances,building codes,and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code, Initial _ 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 C k 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�e�or the cost of the license. Initial ((�� I 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 riedical cost,which could include loss of wages during recovery from their injury. Initial _6 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,oI-ning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this V�_day of�t}� of 20 Owner/Builder Signature STATE OF FLORIDA+� / 1 � COUNTY OF The f mg instru rlt was ackn edged b fore me this lC day of 120 by�� is personally know _t e or who has produced�_� as identification. i Signat�Not y e or Prt am of N a _ YP ' of y (Seal) `title:Notary PuMc Commiss* n er alilllllJlJ Y apSARY 4 SLCPDSD Revised 05/15/2014 *i,e NQrary U��F(q �o bq M 90 a h 4%U 46 *f� 3o f fora s4j 01 a 9h,yationa/��2�2�'9 �gssn A[��0�tS��00� Combined �n�ehcanLandT�|e/�ao�at�n - Adopted 05-01-2015 Ally Parker Brown TItleInsurance Agency, LLC ~� ALTA/ Universal ID 0�� \ --\ �)�� J ' 159gSEPort St. Lucie 87vd~ #11) . Port St. Lucie, FL 34952 File No./EmcrmxvNo.: AP820160353 . Print Date&Time: June 29, 2016at09:17`AM Officer/Escrow-Officer: Merrill Parker Settlement Location- 1599 SE Port St. Lucie Blvd., Suite D Port St. Lucie, FL 34952 Property Address: 5804 Silver Oak Drive ' "'`' '`'`e ' `34""2 Borrower: Matthew Gerdes and Christine Gerdes Seller: Albert D. Grenler, II and Bonnie Blaney Lender: Amerls Bank Settlement Date: June 30, 2016 Disbursement Date: June 30, 2016 Seller Descrlpt� Debit Credit $ 159,90000 Sale Price of Property $ 159,900.0 Loan Amount $ 151,9OS.00 ¢ 1,250.00 Seller Credit $ 1,25O.O0 ' $ 65.25 IRE SLD & Garbage $ 6S.2S 07Y01/16 to 10/01/16 ¢ 7O5.U7 CouniyTaxes ¢ 705.07 01/01/16 to 07/01/16 Administration Fee $ 1,02500 Prepaid Interest ¢ 15.30 $15,3 per day from 06/30/16 to 07/01/16 Appraisal Fee to The William Fall Group POC$ 4OU.00 Paid byBorrower before closing . Flood CeribcodunFee to Coreiogic $ 13.00 / Tax Service Fee to Transamerica $ 89.08 Credit Report to Credit ¢ 59.00 ' Technologies, Inc. | Copyright 2U15American Land 7izleAssociation (APg20160353.PfD/ApE20160353/13) � All rights reserved Printed onO6/Z9/1GatO9:17'AM .