HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater �n - (p - LE Permit Number: 1 l7-_
RECEIVE,
Building Permit Application OCT 1..-6 2018
Planning and Development Services Pe Stilling DO ment
Building and Code Regulation Division Lucie CQ'jnty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7 orc-Sort Pierce, FL 34%6
Legal Description: Lot 007 Phase IIA, Palm Breeze Club
Propert3
y Tax ID #: a10 — Jra- OU - 000 � 000 � -7 Lot No.
Site Plan Name: Palm Breeze Club / / Block No. N/A
Project Name: Morn!ngsid22ISase IIA v
Setbacks Front ie/ Back: r Right Side:
DETAILED DESCRIPTION _OF WORK:
Left Side: 16, A-4
CONSTRUCTION INFORMATION:
Additional work to je net orme under this permit- check a apply:
RjHVAC L._I Gas Tank ❑Gas Piping Shutters Q Windows/Doors
R] Electric 0 Plumbing [iSpri lers ❑ Generator R]Roof Roof pitch
Total Sq. Ft of Construction: i -.'33 7 S . Ft. of First Floor: /4� r I,
J N
Cost of Construction: $ �A 4Utilities: Sewer ❑ Septic Building Height: I
OWNER/LESSEE:
CONTRACTOR:
Name Renar Homes (Morningside), LLC
Name: Glenn Allen Davis II
Address:3725 S East Ocean Blvd, Suite 101
Company: Renar Builders, LLC
City: Stuart State: FL
Zip Code: 34996 Fax-.-772 692-9155
Phone No. 772 692-7800
Address: 3725 S East Ocean Blvd, Suite 101
City: Stuart State: FL
Zip Code: 34996 Fax: 772 692-9155
Phone No. 772 692-7800
E-Mail: rhondarowe@renarhomes.com
Fill in
fromlthe
fee simple Title Holder on next page ( if different
Owner listed above)
E-Mail: rhondarowe@renarhomes.com
State or County License: CBC1261228
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
`U P:LEM�ITAL .CONS'TRIGT IQN: trl.N. LA1(111.(.ORMi4TlON:
'
DESIGNER ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
Zip Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Address:
Name:
dress:
A _
Zip' Phone:
1
Zip: Phone:
"
UwrnCK/ LUIV I KAKI UK APPIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certIify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County make no representation that is granting a �ermit III authorize thepermitholder to build the subject structure
whictj is in conflict with an applicable Home Owners Assoc ation ru es, bylaws or an covenants that may restrict or prohibit such
structure. Please consult wvth 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
Commencine work or re cordlno•vrnir ninttrp of rnmmnne-mm�nr
Y1,000
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Llcense Holder
STATE OF FLORIDA n
J�
STATE OF FLORIDA
COUNTY OF .Luca-e
COUNTYOF Sf 1_tjc1-P_
The (forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of O C- . 20 15 by
this fo day of 00- 20 i 8 by
� .I SA, Fi .j oL
Cm, I e-nyY� k✓
Name of person rpaking statement
Name of person making statementPersonally
Known r/ OR Produced Identification
Type of Identification
Personally Known ✓ OR Produced Identification
Produced
Type of Identification
1A JAA A A AP A) X0
Produced
1, r,0( J 112
(Signa re of Notary Public- State of Florida)
(Signa Notary Public- State of Florida)
Co I mission No. SAY PueG, (Seal)iHCNDAS ROWE
�.
Commission No. ��`p3tY Pue`'�(Se G�nRHONDA $ ROWE
mission # GG 1046
Commission # GG 104656
*
*
m o� Expires May 19, 2021
�p� Expires May 19, 2021
OFF �OP Sonded`rhruBudgetNotary Se
OF F�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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REVIEW
DATE
R& EIVED
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DATE
COMPLETED
Rev. I/2/17