HomeMy WebLinkAboutBuilding Permit Application, updated FIELDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number: 2102-0104
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
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: 9787 Palm Breezes Dr, Ft Pierce, FL 34945
Property Tax ID #: 2310-502-0094-000-4
Site Plan Name: Palm Breezes Club
Project Name: Morningside Phase 2A
DETAILED DESCRIPTION OF WORK:
Construct New Single Family Residence, 4 Bedroom, 2 Bath, 2 Car Garage
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 92
Block No. Phase 2A
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank —Gas Piping V Shutters �/Windows/Doors _ Pond
`Electric _i�umbing _ Sprinklers
Total Sq. Ft of Construction: 2306
Cost of Construction: $ 120,000
Generator Roof 6/12
Sq. Ft��
.of First Floor: 1763
Utilities: VSewer _ Septic Building Height: 17'10"
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Renar Homes ( Morningside) LLC
Name: Lisa M Field
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: rhondarowe@renarhomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lisafield@renarhomes.com
State or County License CBC 1264695
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWN ER/ 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 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 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 o torne before commencing work or recordin your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO IDA �f(
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STATE OF FLO,�IDA
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Sn to (or affirmed) and subscribed before me of
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this ( day of �(( C-1 202( by
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Sw,ar n to (or affirmed) and subscribed before me of
T Physical Presence or Online Notarization
this day of All IQ. 202 f by
Name of person making statement.
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Commission No. Rode A DU %5743
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Commission No. 085743
NZY,Expires o4l04/2025
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Rev. 5 6 20