HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'S . z Permit Number:
Job U(T U�
UP L@IJ� c DaP - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Single Family Residence
PROPOSED IMPROVEMENT LOCATION:
xx
Address: Fort Pierce, FL
2310-502- o0gj•--c�,n0 -�3 Property Tax Tax ID #: Lot No.
Palm Breezes Club Phase IIA
Site Plan Name: Block No.
Prniect Name: Morningside Phase IIA
DETAILED DESCRIPTION OF WORK:,
Construct New Single Family Home - ;7— Story, Bedroom, ath, 2 Car Garage
New Electrical Meter XX Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
X Mechanical _ Gas Tank _ Gas Piping X Shutters X Windows/Doors _ Pond
X Electric X Plumbing Sprinklers —Generator X Roof Pitch
Total Sq. Ft of Construction:, c�'� Sq. Ft. of First Floor: l
Cost of Construction: $ j Utilities: X Sewer —Septic Building Height:_0Z 7
OWNERAESSEE:
CONTRACTOR:
Name Renar Homes (Morningside) LLC
Name: LisaI-ield
Address: 3725 SE Ocean Blvd, Suite 101
Company: Renar Builders, LLC
City: Stuart State: FL
Zip Code: 34996 Fax: 772 692-9155
Phone No. 772 692-7800 Ext 400
Address: 3f25 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: 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 , , F} fsf
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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 before commencing work or recording our 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
this4 day of �_ 20 2,/ by
Name of person making statement.
XX v rues, RHONDA$. ROWE
o�
Personally Known OR Produced Identification = ''+��'• ° Commission # HH 122364
Type of Identification Produced oe Expires May19,2026
9rFaF�o�� Bon1edThru6udgetWiMSer&ee
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
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Rev 20 2