HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
0
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:
Add ress:(J'7g4faim Breezes Dr, Ft Pierce, FL 34945
Property Tax I D #: 2310-502-Ip I Cy- • WO._
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. /6),)�
Block No. Phase 2A
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping �/' Shutters 1W/indows/Doors _ Pond
Electric Plumbing _ Sprinklers _ Generator I/ Roof 3 Pitch
Total Sq. Ft of Construction: -�'3 Cc_� Sq. Ft. of First Floor: 1763
Cost of Construction: $ 120,000 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:
BONDING COMPANY: _Not Applicable
Name:
FEE SIMPLE TITLE HOLDER: _ 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 or an attorney before commencing work or recording your Notice of Commencement.
54ature o Owner/ Lessee/Contractor as Agent for Owner
Sightur=e of Contractor/License Holder
STATE OF FLO I A
STATE OF FLOJ_��,
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COUNTY OF 1�Q.i"i-i �1
COUNTY OF !
Sworn to (or affirmed) and subscribed before me of
Sw .rn to (or affirmed) and subscribed before me of
(� Ph sical Presence or Online Notarization
thi'Iday of 2020 by
� Physical Pres ce or Online No arization
this_—. da%y of 202AF by
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Name of person making statement.
Name of person making statement.
Perso ally Kno OR Produced Identification
P7f Identification
Personally Known OR Produced Identification
Type of entification
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Pr uced
(Sign a ure of Not P -
(Signature of Notary
Notary Public State of Florida
Commission No. RodtelleA(a
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Commission No. Rochelle�+ e
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