HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
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Planning and Development Services
Building and Code Regulation Division Commercial Residential xxxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR; Single Family Residence
Address: 3 o4t�; i t ¢ z ', J RI -,(-ca _ A r-14
Property Tax ID #: 2310-502- j j}j Lot No. 0
Site Plan Name: Palm Breezes Club Block No.
Project Name Morningside Phase IIA
Construct Single Family Residence
Bedrooms Baths 2 Car Gara
New Electrical Meter xxx Second Electrical Meter,
Additional work to be performed under this permit— check all that apply:
%/Mechanical _ Gas Tank Gas Piping "` Shutters ',Windows/Doors ` Pond
of
Electric +� Roof 6/12 Pitch
_ _Plumbing _Sprinklers � Generator
Total Sq. Ft of Construction: 2280 Sq. Ft. of First Floor: 1674
Cost of Construction: $ 120,385 Utilities: _Sewer —Septic Building Height: 187'
Name Renar Homes Morningside, LLC
Address: 3725 S East Ocean Blvd, Suite 101
City: Stuart State:
Zip Code: 34996 Fax: 772 692-9155
Phone No. 772 692-7800
E-Mail: rhondarowe@renarhomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Glenn Allen Davis II
Company: Renar Builders, LLC
Address: 3725 S East Ocean Blvd Suite 101
City: Stuart State: FL
Zip Code: 34996 Fax: 772 692-9155
Phone No 772 692-7800
E-Mail rhondarowe@renarhomes.com
State or County License CBC1261228
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE MOLDER: Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Name:
Address:
Address:
City
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR'AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sT LucIE
COUNTY OF STLucIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Phvsical Presence or Online Notarization
x phvsical Presence or Online Notarization
this day of _ { 2020 by
this day of 2020 by
LISA M FIELD
GLENN A DAVIS II
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification ---
Type of Identification
Type of Identification
Produced
Produce
(Signature of Notary Public- State of Florida j
(Signature of Notary Public- State of Florida)
AHONbASROWE
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Commission No. �I
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Commission No. d �.•
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r r Sxpiies May 3�J, 20�3
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' Dxpires May 93 2021
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/20—