HomeMy WebLinkAboutBuilding Permit Application, updated FieldAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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Permit Number: 2105-0009
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: 328 Palm Breezes Dr, Ft Pierce, FL 34945
Property Tax I D #: 2310-502-0115-000-8
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. 113
Block No. Phase 2A
Additional work to be performed under this permit —check all that apply: V `` //
Mechanical _ Gas Tank _ Gas Piping _ Shutters /windows/Doors _ Pond
V Electric Plumbing _ Sprinklers _ Generator Roof 6i12 Pitch
Total Sq. Ft of Construction: 2238
Cost of Construction: $ 120,000
Sq..Ftt. of First Floor: 1763
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: O
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:
Add ress:
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 toorne before comm encin work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO IDA -f(
COUNTY OF a1�,t I[)
STATE OF FLa
COUNTY OF y 1 A L[/t
Sn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of VYy CAM 2021 by
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Sw,a.rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 202� by
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Name of person making statement.
Name of person making statement.
Per - a ly own - OR Produced Identification
ype of Id tificati �
Produc `j
Personally Known _ OR Produced Identification
Ty 1ti 'fication
roduced
(Sig ture of N r
Notary Public Stets or Florida
Commission No. Roche4e A Dtr(�
ANON 085743
Expires
OF o4roaa2s
(i nature of Notar �CE14D�19i
* Notary Public State a Fbrida
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Commission No. RRNN
a Uffi4=25 085743
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Rev.S 6