HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
p O
Building Permit Application
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
PROPOSED IMPROVEMENT LOCATION: nn �n
Address: ` C�� 1 C1 �.Yy� �� p �. �� d�Jr � rI P l-el%o_'
Property Tax ID #: 2310-502- i,) I j (A _ d Od , ,� Lot No.-
Site Plan Name: Palm Breezes Club Block No.
Project Name: Morningside Phase IIA
DETAILED DESCRIPTION OF WORK:
Construct Single Family Residence
Bedrooms Baths 2 Car Garage
New Electrical Meter xxx Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
,/Mechanical _ Gas Tank _ Gas Piping Shutters 'Windows/Doors _ Pond
`Electric Plumbing _ Sprinklers _ Generator ZRoof 6112 Pitch
Total Sq. Ft of Construction: -2.-/4-v �L- Sq. Ft. of First Floor: 417."0
Cost of Construction: $ / 40 3 (11 6 () Utilities: /Sewer _ Septic Building Height: �7 / c.)
OWNER/LESSEE:
CONTRACTOR:
Name Renar Homes Morningside, LLC
Name: Glenn Allen Davis II
Address: 3725 S East Ocean Blvd, Suite 101
Company: Renar Builders, LLC
City: Stuart State: _
Zip Code: 34996 Fax: 772 692-9155
Phone No. 772 692-7800
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
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail rhondarowe@renarhomes.com
State or County License CBC1261228
IT Value OT Construction Is LSUU 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 attornev before commencine work or recording vrn,r NntirP of CnmnnPnrPmPnt
cv�'L� r l �C-tom sv�
(I
t� J� r-✓ rJ U -c -'y
Signature of Contractor License Holder
Signatu e of Owner/ Lessee/Contractor as Agent for Owner
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 PresenrP nr Online Notarization
x Phvsical Presence or Online Notarization
this - day of , 2020 by
this day of }1 R 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 )
(Signature of Notary Public- State of Floridalt,')
l
PQ6" 140NDA 8 ROWE
�o"Ay
Commission No. , # Commis §&gI G1046;6o�PAy?Uoe
RHONDAS WE
Commission No. _ • ".
Expires May 19, 20'21
, mission # t6)1�,56
7 'UFFGO� Mided Tin 6 A 4(06taryServices
�, \oz Expires May 19, 2021
OF F-
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. .J/ V/GV