HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL�APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O
Dam L)10`— �^ - C� �il� rP �gitSN,ber. — �v�
— - Y% VG
t, — fit"�ne;L f
Building Permit Permit Application 1AN 1,6 2 0_
Planning and Development Services Permitting oe
2300'Vii grma Aovenue9Fort P ercof FL 34982 St• Lucie County°nt
Phone: (172) 462-1553 Fax: (772) 462-1578 Commercial _ Residential xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: Lot
Fort Pierce, FL 34996
Phase IIA, Palm Breeze Club
PropertyTax ID #: �3/O --�00 'DODo� - ODD�7 Lot No. ,5.3
Site Plan Name: Palm Breeze Club Block No. N/A
Project Name: Morningside Phase HA
Setbacks Front Back: /S Right Side: LeftSide: 22.26
_DETAILED_DESCRIP ION OF WORK:,- -
/Uat�J
l
I CONSTRUCTION INFORMATION:
Haamonai worK to oe errormeu unuer tnis permit— cnecK au LEME dppry:
❑✓ Gas Tank ❑Gas Piping ✓ Shutters ✓❑ Windows/Doors
EjElectric OPlumbing ❑Sprin rs ❑Generator �Ro7of ❑ Roof pitch
Total Sq. Ft of Construction: ':MolR S Ft. of First Floor: I M-3
/ n
Cost of Construction: $ //.3 �O U. Utilities: Sewer ❑Septic Building Height: / 7 / O
OWNER/LESSEE: -
CONTRACTOR:
Name Renar Homes (Momingside), 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
E-Mail:rhondarowe@renarhomes.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CBC1261228
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�UPPLEMENTALCpNS'fRl�CTION.LiEN'L,g1NIi�FORIUTATION:
- --
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:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat nttooy worrkk or installation has commenced prior tDo the issuance of a permit
wthidi is Inouconfli tawitli any app IIII ceaable Homeaowners Association rrules, byl ows oantl covenants tnat build
drestrict 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. Lude 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
commencingwork or recordin our otice of Commencement
Rev. 8/2/17
Signature of Ow er/ Lessee/Contractor as Agent for Owner Signature of Contractor/License
Holder
STATEO ID
OF 5,+ � GI �
OUNTY OFORIDA � � b �
The fo oing instrument was acknowledged before me
The forgoing Instrument was acknowledged before me
this day of �-�vbe✓ Z01eby
this of G7=-{-� .20�i-b�y
/1ZGday
ame of person making statement
Name of person making statemenY
Personally own OR Produced Identification _
Personally Known ✓ OR Produced Identification
Type of identification
Type of Identification
Produced
Produe d[ �
(SlgnatureofNotaryPubi(p�rStgfeofFldiiglNpASROWE
Signature aryPublic-State of Florida)
Commission#GG 104666
Commission No. • � ExYt9.202t
otx0.YP�Bo (S��9NDASROWE
Commission No. a : ••• �
.+,
��OF F��p agpa4mwauEsOhxolarysaMms
C ommisslon#GG 104656
yrF .�po. Expires May 19. 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I (�
DATE
COMPLETED