HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TOBEACCEPTED
Date:
Permit Number:
Building Permit Application
Plan ningand Development Services
BuiloYngand Code Regulation Division
I3(0Virginia Avenue, Fort Pierce BJ4982
Co0O0e[Ci31
Residential XX
PERMIT APPLICATION FOR: Single Family Residence
PROPOSED IMPROVEMENT LOCATION:
ddress: Dr Fort Pierce, FL J
Site Plan Name: morningside Phase 11A Block No. -"1,41
Project Name:
DETAILED DESCRIPTION OF WORK:
Construct New Single Family Home -,Z Story,,3 Bedroom, 2_Bath, 2 Car Garage
New Electrical Meter XX
Second Electrical Meter
LCONSTRUCTION INFORMATION:
(Affidavit required)
Additional work tobeperformed underthbpermb—checkaUthatappk,
~_Mechanical Gas Tank Gas Piping X Shutters X Windows/Doors Pond
% Electric x Plumbing Sprinklers Generator X Roof Pitch
Total Sq. FtofConstruction: ' Sq. Ft. ofFirst Floor:
Cost of Construction: $ 0 CY 6 Utilities: X Sewer Septic Building Height: (�4,5 ' 16 t1l
OWNER/LESSEE:
CONTRACTOR:
Address: 3725 SE Ocean Blvd, Suite 101
Comp ny: Renar Builders, LLC
City: State:
Phone No.
Address:
Zip Code: 34996 Fax: 772 692-9155
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lisalieldgrenarhomes.com
State or County License_..
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:
Add ress:
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 c p-an-attoT ney before commencing work or recording our Notice of Commencement.
'I
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 14 day of=to-_ 20 by
Name of person making statement.
XX
Personally Known OR Produced Identification
Type of Identification Produced
(Signat r&of Notary Public- State of Florida )
Commission No. ( ) �ptPRYP49, RHONDAS.ROWE
Seal
Commission # HH 122A364
*
fP�*
o� Expires May 19, 2025
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Rev 5 20 21