HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBuilding. Permit -A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
_ _MAR_1.9 2019 _ _ _
Permitting Department
St,Lucig Qunty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: '7-4-f5 S6:A SAP_AY N Fort Pierce, FL 34996 RV
Legal Description: Lot
/Z Phase IIA, Palm Breeze Club
Lucie
Property Tax ID#: a'3/!6-5Do2-00/41-600 Lot No. /W�
Site Plan Name: Palm Breeze Club Block No. NIA
Project Name: Momingside Phase IIA
Setbacks Front ZZ• 33 Back: Right Side: 140 Left Side:
_DETAILED_DESCRIPTION:OF. WORK n _
G o tir s
CONSTRUCTION INFORMATION:
Itlona wor to e e orme under t—checkispermit a apply:
ZHVAC LiGasTank E]GasPiping _Shutters ✓Windows/Doors
E1Electric 0 Plumbing []Sprinklers nGenerator Roof la /Z Roof pitch
Total Sq. Ft of Construction: 7—t671D S�Ft. of First Floor:
Cost of Construction: $ t l 3gOD Utilities: LJSewer Septic Building Height: /7 rr o it11
OWN ER%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.
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. 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 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 recordingour Notice of Commencement.
(_1365DZ�
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Rev.8/2/17
SURPLEMENTAL CONSTRUCTIQ�F 41EN LfAW IfyFORMATION:
DESIGNER/ENGINEER:
Name: 9�1 •
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
— Phone: -
Not Applicable
State:
Address: �tcr�7i 1
City: �- State:.
-Zip:- - y9' - Phone - — - - -Zip:
FEE SIMPLE TITLEHOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
City: �
Address:
City:
Zip: Phone:
Zip: Phone:
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF � C 1 �
COUNTY OF Si' % U C'L P�
The for oing instrument was acknowledge efore me
ftby
The forgoing Instrument was acknowledge before me
this.f�dayof �ipil'l^%� 20
this ,�day of fYIA't'CFt .20 I� by
Name of personmaking statement
Name of person making statement
Personally Known ✓ OR Produced Identi0cation
Personally Known ✓ OR Produced identification
_
Type of Identification
Type of Identification
ced
Produ�Imj'
Producednd
V
(Signature of Notary Public -State of Florida)
Signa f Notary Public -of FIorIQ2�4i)NDA9 ROWE
Commission No. �wr oue. (hOAS ROWE
Cocossi9�pp I! GG 104656
Commission No. � ExF�$May 19, 2021
�r•kCommission # GG 104656
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• Expires May 19,2021
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