HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Single Family Residence
PROPOSED IMPROVEMENT=LQCATION � _ _ -
Fort Pierce. FL
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2310-502
Property Tax ID #: Lot No. `
Site Plan Name: Palm Breezes Club Phase IIA Block No. AJ Project Name: Morningside Phase IIA
Construct New Single Family Home - Story, Bedroom, Bath, Z Car Garage
New Electrical Meter. X Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank _ Gas Piping X Shutters
X Electric X Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction
Cost of Construction: $
X Windows/Doors _ Pond
X Roof fir- //;), Pitch
'2_6 12-0 Sq. Ft. of First Floor: ") .
Utilities: Xv Sewer u Septic Building Height: r
cif
Name Kenar homes tiviorningsiae) LLU
Address: 3725 SE Ocean Blvd, Suite 101
City: Stuart State: FL
Zip Code: 34996 Fax: 772 692-9155�
Phone No. 772 692-7800 Ext 400
E-Mail: rhondarowe@renarhomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Company: Renar Builders, LLC
Address: 312b SE Ocean Blvd,Suite
101
City: Stuart State: FL
Zip Code: 34996 Fax: 772 692-9155
Phone No 772 692-7800 Ext 215
E-Mail lisafield@renarhomes.com
State or County License 0 6 C I -6
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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 o en—at-tarnev before commencing work or recordinE vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA Martin
COUNTY OF
XX
Sworn o (or affirmeci),jand subscribed before me of Physical Presence or Online Notarization
this I day of 20 by
Name of person making statement.
XX
Personally Known _
Type oA Identification
OR Produced Identification
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
F(/B��c
RHONDA S. ROWE
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Commission # HH 122364
Expires May 19, 2025
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