HomeMy WebLinkAboutBuilding Permit Application, UPDATED, FIELDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
wv
p444*o p - �u
Permit Number: 2105-0074
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
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 New Single Family Residence, 4 Bedroom, 2 Bath, 2 Car Garage
New Electrical Meter X
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 88
Block No. Phase 2A
Additional work to be performed under this permit- check all that apply: /
'LMechanical _ Gas Tank _ Gas Piping �✓Shutters V Windows/Doors Pond
_V Electric V/Plumbing _ Sprinklers _ Generator Roof 6/12 Pitch
Total Sq. Ft of Construction: 2238 Sq. Ft of First Floor: 1763
Cost of Construction: $ 120,000 Utilities: V Sewer _ Septic Building Height: 17'10"
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: _6e
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 rney before commencing work or recordin yourNotice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO IDA (
COUNTY OF I� ( ti� IV)
STATE OF FL IDA
COUNTY OF Cj ilk f (/l
Sn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this ( day of (" 202( by
Sw,e.rn to (or affirmed) and subscribed before me of
T Physical Presence or Online Notarization
this day of 202by
Name of person making statement.
Name of person making statement.
Per - a ly own OR Produced Identification
ype of Id tificati p
Produc r
Personally Known _ OR Produced Identification
Ty p id 'fication
roduced
(Sig ture of N r�
Notary pubic State of Florida
Commission No. Rochellemy Uorm on.`a % 5743
s 04lo413U�5
Nor
( i nature of Notar
Y Notary Public State of Florida
Roc�t�rge
Commission No. RHH
a Expires 04*VAX Y5 085743
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S 20