HomeMy WebLinkAboutBuilidng Permit Application - 9771 Palm Breezes Dr Lot 88All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
[Luc
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SINGLE FAMILY RESIDENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 9771 Palm Breezes Dr, Ft Pierce, FL 34945
Property Tax ID #: 2310-502-0090-000-6
Site Plan Name: Palm Breezes Club
Project Name: Morningside Phase 2A
DETAILED DESCRIPTION OF WORK:
COnstruct Single Famil Home, 4 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 utters
V"Electric yZPlumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 2238
Cost of Construction: $ 120,000
Sq. Ft. of First Floor:
Lot No. 88
Block No. Phase 2A
Windows/Doors _ Pond
/`Roof 6/12 Pitch
1763
Utilities: —Sewer —Septic Building Height: 17'10"
OWNER/LESSEE:
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: _
Zip Code: 34996 Fax: 772-692-9155
Phone No. 772-692-7800
Address: 3725 SE Ocean Blvd, Suite 101
City: Stuart State: FL
Zip Code: 34996 Fax: 772-692-9155
Phone No 772-692-7800
E-Mail: lisafield@renarhomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail rhondarowe@renahromes.com
State or County License CGC 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:
Zip: Phone
City: State:
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 oranattorney before commencing work or ecordin our Notic o Commen ement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contract r Lrcen_ older
STATE OF FL I,DA
COUNTY OF I f�.�ir I I,
STATE OF FL f
COUNTY OFT V 11J
Stivorn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
S� �!�
Syn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this ^ day of 2020 by
Name of person making statement.
Name of person making statement.
Personal �y own OR Produced Identification
Type of Iderdtification
roduced_<
Produced'.,
Personally Known Y— OR Produced Identification
_T ee o�Identification
Produced
(Sign tore of Notary Public- State of Florida)
(S gnature of Notar Publli4 a
Commission No. of Fbrida
Notary a
Cormninsion HH 085743
' My.
Notary Public pf F lkwkia
Commission No. Chef A
.1 My Gorttrnlsblon HH 010 5743
104120245
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