HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: I -I Or!' 04 `&
RECpNEo
JAN,221019
Building Permit Applicatiorfe �iiu9Deaertme
Planning and Development Services QCounty nt Spy
Building and Code Regulation Division
2300,Virginia Avenue, Fort Pierce FL 34982`v ef.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx 0/0
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 9111
IMP
Address:
Legal Description: Lot
Fort Pierce, FL 34996 �}enQ , rP r14 Lrjo
319 Phase IIA, Palm Breeze Club
Property Tax ID #: oZ.3 /0 -��ZTO - 60Oo2. — 047 7 Lot No.�
Site Plan Name: Palm Breeze Club Block No. NIA
Project Name: Morningside Phase IIA
Setbacks Front / Y Back: / O Right Side: LeftSide:
DETA(LED_DESCRIPTION OF"WORK:. -_
CONSTRUCTION INFORMATION:.
Auw uundi wurrc w ue Cl wn neu unutll uua pennu—UML& do dppry:
i✓ HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 21Plumbing ®Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 43 �-��o S Ft. of First Floor: 7&3
Cost of Construction: $f_� dfl� Utilities: Sewer Septic Building Height: 1 7 i 10 d
'1Cd r'n1 Mf
_QWNER/LESSEE: -
CONT.RACTOR:.
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 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 52500 or more, a RECORDED Notice of Commencement is required.
WPPLEM�IVTPL CONST(t1JCTI0N L EN LAIN INFORNI"ON:
DESIGNER ENGINEER:
Name:
Address:
City:
Zip: Phone
Not Applicable
State: _
MORTGAGE COMPANY:
Name:
Address:
_ Not Applicable
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
Cry:
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. Lucle County mak no representation that Is granting a Germit wI11 authorize the Kermit holden to build the subject structure
which1s In conflict wiR any applicable Home Owners Assoclation rules, bylaws or ano 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 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
as Agent for Owner
STATE OF
COUNTY(
The forgoing instrument was acknowledged before me
this "day of CX+ 2016 by
1-15A M. �le1r�
Name of persorymairing statement
Personally Known VV OR Produced Identification _
Type of Identification
,`,
STATE OF FLORIDA
COUNTY OF aw /-/C!t,
The forgoing instrument was acknowledged before me
thlsaF day of OL1 .2iA by
Name of persgR making statement
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signatu?e.of Notary Public -State of Florida I
Commission No. c Corngft91)#GG104656 Commission No.
N�JFor �opPr Expires
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW (\ REVIEW REVIEW I REVIEW
Rev.
ffi.,fAS ROWE
Co m s}5I # GG 104656
Expires May 19, 2021
SEATURTLE I MANGROVE
REVIEW REVIEW