HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L a!�Ir�i7 r7r is.
c l 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 LOCATION:
Address: Fort Pierce, FL 349
2310-502-001/,..o oe --y 9 Property Tax ID#: Lot No.
Site Plan Name: Palm Breezes Club Phase IIA Block No. Vhc,%x 111k
Project Name:
Morningside Phase IIA
DETAILED DESCRIPTION OF WORK:
Construct New Single Family Home - / Story,3Bedroom,ZBath, 2 Car Garage
New Electrical Meter XX 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 Pitch
Total Sq. Ft of Construction: .2-o7— 0 Sq. Ft. of First Floor: le, 74
p gHeight: �� , "Cost of Construction:$ /h��j„�'7'T, Utilities: X Sewer —Septic Building 7
OWNER/LESSEE: CONTRACTOR:
Name Renar Homes (Morningside) LLC Name: LisaI-ield
Address: 3725 SE Ocean Blvd, Suite 101 Company: Renar Builders, LLC
City: Stuart State: FL Address: cean v , uite
Zip Code: 34996 Fax: 772 692-9155 City: Stuart State: FL
Phone No. 772 692-7800 Ext 400 Zip Code:34996 Fax: 772 692-9155
E-Mail: rhondarowe@renarhomes.com Phone No 772 692-7800 Ext 215
Fill in fee simple Title Holder on next page (if different E-Mail lisafield@renarhornes.com
from the Owner listed above) State or County License `
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:
Add ress: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: uNot Applicable
Name: Name:
Add ress: 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 ar-a-n-atte-mey 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
this day of %,JCL/Yt_j ,20 ZZby
/sq m /- /d
Name of person making statement.
XX
Personally Known OR Produced Identification
Type f Identification Produced
(Signature of Notary Public-State of Florida)
YA
Commission No. (Seal) RHONDAS.ROWE
* * Commission#HH 12464
N9r `o: Expires May 1 9,2025
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5 20 21