HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
E60V
Building Permit"Applicati APR Z 0.
ED
Planning and Development Services ?017
Building and Code Regulation Division P�+ ��
2300 Virginia Avenue,Fort Pierce FL 34982 (� B
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
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PERMIT APPLICATION FOR: Other Ij R
PROPOSED IMPROVEMENT LOCATION:
Address: 9330 Breakers Row, Ft Pierce, FI 34945
Legal Description: Lot 3 Block 10, Palm Breezes Club,as recorded in plat book 49, page 32 Public Records of
St Lucie County, FL
Property Tax ID#: Lot No.3
Site Plan Name: Palm Breezes Club Block No. 10
Project Name: Morningside
Setbacks Front" /Ss Back: 7'd Right Side: 4:� Left Side:
DETAILED DESCRIPTION.OF WORK:
New Single Family Homeedroom, 2 bath, 2 car garage
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-CONSTRUCTION. INFORMATION:- "
Additional wor to be nertormed under this permit—check all apply:
❑✓_HVAC Gas Tank G Piping Shutters Q Windows/Doors
tr- an � as ,
ZElectric WI Plumbing :Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:a. S . FtFt.of First Floor:
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Cost of Construction:$ Utilities: Ir ISewer Septic Building Height:
OWNER/LESSEE: _CONTRACTOR:
Name Renar Homes(Morningside)LLC Name: Glenn Allen Davis II
Address: 3725 SE Ocean Blvd, Suite 101 Company: Renar Development Company
City: Stuart State: FL Address: 3725 SE Ocean Blvd, Suite 101
Zip Code: 34996 Fax: 772-692-7800 City: Stuart State:FL
Phone No. 772-692-7800 Zip Code: 34996 Fax: 772-692-9155
E-Mail: rhondarowe@renarhomes.com - Phone No. 772-692-7800
Fill in fee simple Title Holder on next page(1f different E-Mail: rhondarowe@renarhomes.com
from the Owner listed above) State or County License: CBC1261228
If value of construction it$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUC IN, LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Michael Anderson Name:
Address: 3725 SE ocean Blvd,Suite 101 Address:
City: Start State: FL City: State:
Zip: 34996 Phone: 772-692ae00 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing wor ,ecorcling your Notice of Commencement.
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Signa ure of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA 1 ' STATE OF FLORIDA
COUNTY OF COUNTY OF �A2TI V�J
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /7 day of "4Qre l 20 17 by this day of k-j 2012 by
'L/SAS � LC a.PAl fhrl.r
(Name of person acknowledging) (Name of person acknowledging)
-A_Ir�
(Signatu of otary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known V// OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ?ot""=:: �� RHONPk%qOWE Commission No. (Seal)
* MY COMMISSION#FF 012664 2o"1-- .",/ RHONDA S.ROWE
EXPIRES:May 19.2017 MY COMMISSION#FF 012664
rAnar�o�` BandedThru Budget Notary Services XPIRES:May 19,2017
Revised 07/15/2014 �rA�-eOFFIpV Bonded Thn Budget Notary Services
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW- REVIEW
DATE 'r
COMPLETE I I�
INITIALS -