HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE CO ETED FOR APPLICATION TO BE ACCEPT ( �
Date: Permit Number:
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- Building Permit Application
Planning and Development Services g���' G ��
Building and Code Regulation Division � '
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 9301 Portside Drive, Ft Pierce, FI 34945
Legal Description: Lot 5 Block 5, Palm Breezes Club, as recor ed in plat book 49, page 32 Public Records of
St Lucie County, FL
Property Tax ID#: L-3 10 60 h i a Q — Llo C1 4 Lot No.5
Site Plan Name: Palm Breezes Club Block No. 5'
Project Name: Morningside, /
Setbacks Front 610' Backe Right Side:?Left Side: 5�
DETAILED DESCRIPTION OF WORK:
New Single Family Home,^edroom, 2.5 bath, 2 car garage
CONSTRUCTION INFORMATION:
Additional work to a er orme under this permit—check a apply:
✓❑_HVAC EiGasTank ❑Gas Piping Shutters Q Windows/Doors
ZElectric 21 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: ✓ S . Ft. of First Floor:
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Cost of Construction: $ 1 Utilities: Sewer _Septic Building Height: 05
OWNER/LESSEE:' CONTRACTOR:
Name Renar Homes(Morningside)LLC Name: Glenn Allen Davis II
Address: 3725 SE Ocean Blvd, Suite 101 Company: Rena Development Company
City: Stuart State: FL Address: 3725 SE Ocean Blvd, Suite 101
Zip Code: 34996 F'ax: 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 (if different E-Mail: rhondarowe@renarhomes.com
from the Owner listed above) State or County License: CBC1261228
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCT17N 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: 772-592-7800 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
commencin w r"r recording our Notice of Commence ent.
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Signatu e o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Licens Ho der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF (nIXK -_L V\ COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
t ' . o day of 20 L-)_by this 3 day of d ae�z 20 17 by
F 'c �� l w Uls�
(Na erson acknowledging I (Nam rson acknowledging)
( i nature of Notary Public-State of Florid (Sigr^re of Notary Public-State of Florida)
Personally Known Y, OR Produced Identification Personally Known K OR Produced Identification
Type of Ider Type of Identification Produced
ROCHELLE A. DURYEA ;Y. ROCHELLE A•DURYEA
812 1812
Commissio Rtb. MY COMMISSION# Commission No. 'Oy OMMISSI�g{�G08
+�•. EXPIRES April 04,2021
EXPIRES April 04,2021
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE (
COMPLETE {l
INITIALS