HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 40 . .2d. 7— ` Permit Number:
P EL c Fl� E c Ln 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
W:Ea Palm Breezes Drive, Fort Pierce, FL 34945
Address: Z r�
Property Tax ID#: 2310-502-0103-000-1 101
Lot No.
Palm Breezes Club PH IIA
Site Plan Name: Block No.
Morningside Phase IIA
Project Name:
DETAILED DESCRIPTION OF WORK:
New bingle Family Residence, 4 Bedroom, 2 Bath, Car arage
New Electrical MeterXX Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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 6/12 Pitch
Total Sq. Ft of Construction: 2 19 Sq. Ft. of First Floor: 1763
Cost of Construction:$ 4,' `7 �/ Utilities: X Sewer _Septic Building Height:17'10"
OWNER/LESSEE: CONTRACTOR:
Name enar Homes orningsl e , LLC Name: Isa IVI Field
Address: 3725 SE Ocean Blvd, Suite 101 Company: Renar Builders, LLC
City: Stuar , State: Address: Ocean Blvd, Suite
101
Zip Code: 34996 Fax: (772) 692-9155 City: Stuart State: FL
Phone No. E- Zip Code: Fax: 92-91
Mail: rhon arowe renar omes.com Phone No 0
Fill in fee simple Title Holder on next page(if different E-Mail lisafield@renarhomes.com
from the Owner listed above) 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 MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE BOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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_pr-arratte(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 / day of )Jove 1Y1{.—k-) ,20 4 by
Name of person making statement.
XX
Personally Known OR Produced Identification
Type Identification Produced
(Sign at' of Notary ublic-State of Florida)
Commission No. (Seal) =o� vruaio RHONDAS.ROWE
Commission#HH 122364
r of Expires May 19,2025
�rFOF F`�Q� Bonded Thru Budyel Notary SerAcee
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21