HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O 6P_
17 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9744 Starboard Dr, Ft Pierce, FL 34952
Property Tax ID#: 2310-502-0072-000-4 Lot No. 70
Site Plan Name: Palm Breezes Club Block No. Phase 2A
Project Name: Morningside Phase 2A
DETAILED DESCRIPTION OF WORK:
Construct Single Family Home, 3 Bedroom, 2 Bath, 2 Car Garage
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: /
_Mechanical _Gas Tank —Gas Piping Shutters V Windows/Doors _Pond
YElectric _VPlumbing _Sprinklers _Generator _Roof 12 Pitch
Total Sq. Ft of Construction: Sq. Ft. o irst Floor: (S(oo
Cost of Construction: $ �0��0��� Utilities: Sewer peptic Building Height: l
OWNER/LESSEE: CONTRACTOR:
Name Renar Homes (Morningside) LLC Name: Glenn A Davis II
Address: 3725 S East Ocean Dr Company:Renar Builders LLC
City: Stuart, State:_ Address: 3725 S East Ocean Blvd
Zip Code: 34996 Fax: 772-692-9155 City: Stuart State:FL
Phone No. 772-692-7800 Zip Code: 34996 Fax: 772-692-9155
E-Mail: lisafield@renarhoomes.com Phone No 772-692-7800
Fill in fee simple Title Holder on next page(if different E-Mail lisafield@renarhomes.com
from the Owner listed above) State or County License CBC 1261228
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 Horne 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,-Kecording your Notic Commen ement.
1 —
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract Llcen older
STATE OF FL STATE OF FLO ,p
COUNTY OF f '� COUNTY OF J 11� yl l J/1
Sw,o
/n to(or affirmed)and subscribed before me of Sw9rn to(or affirmed)and subscribed before me of
LPhysical Presence or Online Notarization /` Physical Presence or Online Notarization
this y day of .2020 by this day of— 2020 by
�1 sa G 1 c/ 6 kon
Name of person making statement. Name of person ma in statement.
Personal own OR Produced Identification Personally Known OR Produced Identification
e of iden ' icatioi Type o tification
Produce —oduc
(Sig' reof NotarV Public-I;t;;Le of Florida) (Signatu a A. !J R EA
k-, ROCHELLE A.11DC�UR'1YEA :°`• '
Commissio 't�o SION A2687812 Commis ii' :"= MY COMMISSION#Ggl�l-jM)r 2
", of of EXPIRES April 04,2021
EXPIRES April 04,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE j
COMPLETED E
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