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All APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TOBEACCPBD
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division C0O0OU8rCi8l Residential XX
2300Virginia Avenue, Fort Pierce /I34982
Phone: (772)462'1SS3Fax: (77I)462'1S78
PERMIT APPLICATION FOR: Single Family Residence
Property Tax |D#:
Site Plan Name:
Project Name: _
New Electrical Meter Xx Second Electrical Meter
Lot No.
Block No.
room, Z Bath, 2 Car Garage
(Affidavit required)
Additional work tobeperformed under this permit —check all that apply:
u MX X
Mechanical 5usTank Gas �hut��m Windows/Doors Pond
X Electric X Plumbing Sprinklers Generator X Roof 6//-)~ Pitch
Total Sq. FtofConstruction: Sq. �/
Cost ofConstruction: $ /-V-0 006,Utilities: XSever
__Septic Building Height: =:L'
Name Renar Homes (Morningside) LLC
Name: Lisa M I-ielcl
Address: 3725 SE Ocean Blvd, Suite 101
Company: Renar Builders, LLC
City: -S—tuart state: FL
Zip Code: 34996 Fax: 772 692-9155
Address: 3725 SE Ocean Blvd, 6uite 101
City: Stuart State: FL
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
If value of construction is 2500 or more, a RECORDED Notice of Commencement is reauired.
If value ofHAVC is $7,50ummore, aRECORDED Notice of Commencement brequired.
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:
OWNER/ 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 Qrarrattarnev before commencing work or recordiniz vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA Martin
COUNTY OF
Sworn to (or affirmed) and subscribed before me of XX Physical Presence or Online Notarization
this t day of 20 by
Name of person making statement.
XX
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS I FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
vu" RHONDAS. ROWE
* * Commission # HH 122364
Expires May 19, 2025
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