HomeMy WebLinkAboutRevisions, chg address OFFICE USE ONLY:
DATE FILED: PERMIT# �-
REVISION FEE: RECEIPT#
PLANNING &DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DMSION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 FAX(772)462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
LhariW- 04
DU ago (L o�S
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: 8 ST.LUCIE COUNTY CERT.#:
BUSINESS NAME:
QUALIFIERS NAME: G Ien n /qql-en -rii wq L1
ADDRESS: 2)1 xs- S 0 b/06 in I'tj mil SLIt Ic to 1
CITY: �}1 is%h �— `STATE: Ft- ZIP: mil. `7Ztr
PHONE(DAYTIME):-IZ�-1 C1 d, -7 T A0 FAX:
4. OWNERBUILDER INFORMATION:
NAME: IZ>'x�/�r Rows CrVlb,,n 1+lA ,ic1eJ LLB
ADDRESS: - - 12 i
CITY: SATE:_ ZIP: --'
PHONE: `1-7 I-Lola-J S2 FAX: 171-G�a -gis
5. ARCHITECT/ENGINEER INFORMATION:
NAME: I 5-o
ADDRESS: 1.✓'
CITY: 5He L2/4- STATE: ZIP:
PHONE(DAYTIME): -1-1 a._ FAX: --I S S-
Revised 07/22/2014
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I ivy(' 0d_Lf�
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 X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 9301 Portside Drive, Ft Pierce, FL 34945
Legal Description: Lot 5 Block 5, Palm Breezes Club, as recorded in plat book 49, page 32 Public Records of
St Lucie County, FL
Property Tax ID#: —> '' ` r ® Lot No.5
Site Plan Name: Palm Breezes Club Block No. 5
Project Name: Morningside
Setbacks Front Back: _q i —Right Side: Left Side:�
DETAILED DESCRIPTION OF WORK:
New Single Family Home, 4 bedroom, 2 bath, 2 car garage
CONSTRUCTION INFORMATION:
Additional work to a er orme under this permit—check a apply:
❑✓—HVAC Ei Gas Tank Gas Piping Shutters Z Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator W1Roof Roof pitch
Total Sq. Ft of Construction: 3(p S . Ft.of First Floor: 1 a bZ�
i
Cost of Construction:$ USI00-D Utilities: W]SewerE]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(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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Michael Anderson Name:
Address: 3725 SE Ocean Blvd,Suite 101 Address:
City: Stuart State: FL City: State:
Zip: 34996 Phone: 772-692-7800 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
commencing work or recording our Notice of Comm cerrWnt.
s
Suture o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF %"y\w%-�i COUNTY OF (yl0_r-4--1 V1
The forgoing instruknent was acknowledged before me The forgoing instrument was acknowledged before me
this day of w .L 20 LZby (AcL Reid- this day of ( 20 n by l�) "►A
(Name rson acknowledging) (Name of person acknowledging)
A
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known )C OR Produced Identification Personally Known '4 OR Produced Identification
Type of Identification Prod ype of Identification Produce
". ;� ROCHELLE A. DUR :►�4'� ROCHELLE A. DURYEA
Commission No. ;'ii MY(Ge1AMISSION#GG087812 ommission No. % •= Y COMMI A#GG087812
'•', •y, ` EXPIRES April 04,2021 + .•.
�� ;a EXPIRES April 04,2021
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
- - - --- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
- Building& Code Regulations Division
2300 VIRGINIA AVENUE
--- FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
93C)I /' o,:b✓'I yp t'T- i'1 Pal_, . R C�1
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number )-7( q_ 6N,), I acknowledge
that as owner of the above described property, and in accord nca e with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Proper O r NamePas
e Print)
L d$ 1 .7
roperty i5wner Signature Date
STATE OF FLORIDA,COUNTY OF W L� l (/1
ACKNOWLEDGED BEFORE ME THIIS DAY OF 20�,
BY WHO IS PERSONALLY KNOWN TO ME CKJ OR WHO HAS
P D AS IDENTIFICATION.
� ��,�,L�0 - I A Iv roc,
SIGNA URE OF NOTARY SUBLI -f TYPE OR PRINT NOTARY
COMMISSION NUMBER
��Ykll ROCHELLE A-0URYEA
MY COMMISSION#GG087812
- EXPIRES April 04.2021
SLCPDSD Revised 04/11/2011
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