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HomeMy WebLinkAboutBuilding Permit Application, updated, FieldAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 2104-0122 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: 9736 Starboard Dr, Ft Pierce, FL 34945 Property Tax ID #: 2310-502-0074-000-8 Site Plan Name: Palm Breezes Club Project Name: Morningside Phase 2A DETAILED DESCRIPTION OF WORK: Construct New Single Family Residence, 3 Bedroom, 2 Bath, 2 Car Garage New Electrical Meter X Second Electrical Meter [CONSTRUCTION INFORMATION: Lot No. 72 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 V Electric ✓Plumbing _ Sprinklers _ Generator ✓ Roof 6/12 Pitch Total Sq. Ft of Construction: 2162 Cost of Construction: $ 110,000 Sq. Ft. of First Floor: 1560 Utilities: '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: _ 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 tol- rney before commencing work or recordin our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO IDA COUNTYOF) (iJ` IV) STATE OF FLO . IDA/ COUNTYOF�� C((/ 1`f(/l S rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this a- ( day of IM C-1 2021 by Sw,ern to (or affirmed) and subscribed before me of T Physical Presence or Online Notarization this day of 202 " by Name of person making statement. Name of person making statement. own � OR Produced Identification ificati � 11 p Personally Known _� OR Produced Identification Typ -fd Ttification r�P"oduced (SigpMture of N rrO Notary FdlheY�I� Public State of Fbridallotary Commission No. RIBADuft ' ��1%5743 a � o4ro�o25 (i nature of Notar h�f�R,��f��IL� Pubic State of Commission No. Rocheft a Fonda a E 04"*025 085743 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. S 20