HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO:MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
17 Date: � `�dl Permit Number
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Building Permit Apipl Ica tion
Planning and:Development Services
Building and Code Regulation.Division Commercial Residential XX
2300 Virginia Avenue,Fort Pierce,FL 34982:
Phone:(772)462-1553 Fax:_(77,2)462-1578
PERMIT APPLICATION FOR:
PROPOSED {N)PROVEMENT LOCATION
Address 9716 Starboard Dr, Ft.Pierce,FL 34945
Property Tax I D#; 2310-502-0079-000-3 j Lot.No.7
Site Plan Name: Palm'Breezes Club Block No..-Phase 2A
Project Name: Morningside Phase 2A
DETAILED DESCRIPTION;bF WORK
Construct Single Family Home,4 Bedroom, 2.5 Bath, 2 Car Garage _
I
New Electrical Meter XX Second Electrical.Meter
CONSTRUCTION`INFORiVIATtON �£
Additional work to be performed under this permit_check all that apply"
V Mechanical _Gas Tank -Gas Piping Shutters 'I!`-Windows/Doors _Pond.
VElectric _V6umbing _Sprinklers _Generator Roof 6/12 Pitch
Total Sq. Ft of Construction: 2596 Sq. Ft. of First Floor: 713:
Cost of Construction:$ 130,000 Utilities: Sewer Septic Building,Height: 27'
OWNER/LESS,EE CONTRACTOR
Name Renar Homes (Morningside) LLC Name:. Glenn A Davis II .
Address: 3725 SE.Ocean Blvd, Suite 101 Company: Renar Builders,LLC
City: Stuart State:_ Address: 3725 SE Ocean Blvd, SUite 101
Zip Code: 34996 Fax. 772-692-9155 City: Stuart State:FL
Phone No. 772-692-7800 Zip Code: 34996 Fax: 772=6.92-9155
lisafield renarhomes.com: 772-692=7800
E-tVlail: @ Phone No
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 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
i
SURPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION .
DESIGNER/ENGINEER. 'Not Applicable MORTGAGE COMPINY: Not App!icable-
Name: Name:
Address.:. Address
City State: OW: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
Caty: 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 vvith-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 ma
yapply:
In consideration of the granting of tl"is regIuested 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 Airrendments..
The following building permit applications are exempt from undergoing a full con.cutrencyreview:room additions,
accessory structures,swimming:pools,fences;walls,signs,screen rooms and accessory uses to another.non-res:identialuse
WARNING'TO OWNER:Your failure to Record a Notice of Commencement,rnay result in paying twice-for
improvemenCsto your property. A Notice of Commencement must be recorded in the ptrblic:records.af St:
Lucie County and posted on the jobsite before the first inspection. if you intend to obtain,'financing, consult
with fender or an attorney before commenting work or ecordin ou'r Notic Commen ement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of.Contract r.Licen. older
STATE OF FLO 1DA STATE OF FLO D 4
COUNTY OF: t d1 COUNTY OF. �ti i
Swv rn to(or affirmed)and subscribed before me of sworn to(or affirmed)and subscribed"before me of
Physical Pres,�nnce or_ Online Notarization Ph srcal Pre ce or Online Notarization
this:�.i.2 day of t r V 2074 by this daY of 02p� by
Name of person making statement. -Name of person making statement.
Personally Kn o n OR Produced Identification Personally Known X .OR.Produced Identification
Type of Identification ape S `Ide icatton
F?roduced' 'Produce �l
{Signa ure of N }R r�up To- IErid ) DU YGA {Signa ure of N tary Public-State of Florida }
Commission No +1YC A1(v11SS �?a� O dg7812 om�/missianNo., rQjRYR�� R00" LL A. 3URYEA
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v vi g7SS N r: GG087t312
REVIEWS FRONT ZONING SUPERVISOR PLANS. `JEG 5. E .
COUNTER , REVIEW .REVIEW REVIEW REVIEW REVIEW" REVIEW
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DATE
COMPLETED .
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