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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr, ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Pol l� Permit Number: Iy' 6lElW T— - ^ '$"' � RECEIVED - Building Permit Application JAN 16 2019 Planning and Development Services ' ST. Lucie County, Permitting Building and Code Regulation Division 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 _ _ _ ....__ III rKUrUJtu uyirmUyciyiti41 LUI;AI IU14' - - - - RY- Address: P QIrP22e 9)( Fort Pierce, FL 34996 St. Lucie County Legal Description: Lot 1 C-)9 Phase IIA, Palm Breeze Club Property Tax ID N: o23y 0 - 500 - ODD a, - 000/ '% Lot No. /U 9 Site Plan Name: Palm Breeze Club Block No. N/A Project Name: Morningside Phase IIA Setbacks Front Back: 15 Right Side: T'SA Left Side: r7..3`1 :DETjt.ED.DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: (J = onaiworKcooe HVAC errormeu unuermisperma- Gas Tank [-]Gas cnecKau appry: Piping ,_ Shutters Windows/Doors Electric 0 Plumbing ®Sprinklers Generator Roof = Roof pitch Total Sq. Ft of Construction: a 3 `( '? Sq. Ft. of First Floor: 1-IL 3 � Cost of Construction: $ 113, Y00, o' Utilities:21Sewer Septic Building Height: 1-7 ) du s _w 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 Fill in fee simple Title Holder on next page (if different from the 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. 0 i t1PPEEM�f�hT�tl f6NS'fRt�CTtOtN�iA�if1iK1� f �>, DESIGNEW ENGINEER. Name: M, ch o� I fin Not Applicable MORTGAGE COMPANY: Not Applicable ^ soly Name: Address: 37-LS S Fsjs7 beea-;h Bjv Address: City: State: Zip: Phone: City: _�- State: � Zip:3�/9g6 Phone 702-lAQ-•7M) FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: _Not Name: Address: Address: City: city: Zip: Phone: Zip: Phone: ^1A... ee I i.w..� vrnvcnr wry r nrsa.r un rvrILM 1. 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. — .c) eecn,aLlun tuac rs granwrg a ermrc I11, uthorize the permit holder to build the subject structure �ucctture. Please consult witny h Home OwOwnersrsssociatiotn and reviewbyour deed for any rensttrictions awhidima oapply. prohibit such Y In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucia 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 mmmonrina wnrlr n. rer...,lt.......... nr..ar_.. _s m. FAA SUW4 4 Signature I Owner/ Lessee/connttractor as Agent for Owner Signature of Contractor/License Holder COUNTY OFSTATE OF GRID E STATE OF FLORIDA COUNTYOF ST LuC.GG- The forgoing instrument was acknowledged before me this S day of L 20L by Lisq M.�71n—Ln Name of person making statement Personally Known v OR Produced Identification Type of Identification Commission No. of Florida) RHONOASROWE Commil6AaIII GG 104656 Expires May 19, 2021 Bonded Thm BudAelNoterySen,kes The forgoing instrument was acknowledged before me this 5 day of 20 l by Cde nr - S JL Name of person making statement Personalty Known ✓ OR Produced Identification Type of Identification Produced (Signature —of—NotaryPublic- StateoTf —jor aFl Id Commission No. RHO �ROWE r' Commis on G 104656 F Expires May 19, 2021 REVIEWS I I SUPERVISOR RILIVON SREVRTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW