HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABL IN)F/0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,,
Date: /�/ %�' Permit Number: ' 043t7
Building Permit Ap
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
MAR 19 2019
Permitting Department
RAWMFdle Runty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
KNED
PROPOSEDIMPROVEMENT LOC_A_TI.ON_:_ SC
BY
Address: 4.2-/Z-n r Fort Pierce, FL 34996 St. 1-161de County
Legal Description: Lot to _/ Phase IIA, Palm Breeze Club
Property Tax ID #: 3 /b - -q Lot No. 641
Site Plan Name: Palm Breeze Club Block No. N/A
Project Name: Momingside Phase IIA
Setbacks Front Back: 10 Right Side: iS: l.5 Left Side:
DETAILED.DESCRIPTION OF WORK -. "
Cm,st>uct New �drm dfh� 02Ga&-,
CONSTRUCTION INFORMATION: II
Additional work to bePe orme un ert isPermrt-check all apply:
E1HVAC U Gas Tank EIGw
Electric 0 Plumbing �Spy
Total Sq. Ft of Construction:
Cost of Construction: $
'r--ci-•
7 4' <-i-R
Piping ✓_Shutters Windows/Doors
nklers 11Generator 2 Roof 22 Roof pitch
_ SFt.
. of First Floor: 174
Utilities: LJSewer Septic Building Height: % 7 '/O"
OWNER/LESSEE:,`
CONTRACTORc, -
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 N0.772 692-7800
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.
• 0 00
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 Count makes no representation that is granting a ermit will authorize the emit holder to build the subject structure
which is in con ict with any applicable Home Owners Assoc�atlon rules, bylaws or anr�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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
e
SignaturSTATE
OF
STATE OF
Rev.8/2/17
SUPPLEMENTAL CONSTRUCTiQN LIEN LAiN
ORMATIONc
DESIGNER/ENGINEER:
Name:1L'i;�aal AMr-f'Snr.
Address: Ia,.�o fv'Pm,s,�ro y ..
City:_Oi-s,t � } L, ..; o
Zip: ?crQ� Phone
Not Applicable
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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:
City:
City:
Zip: Phone:
Zip: Phone:
of Contractor/License Holder
COUNTYOFORIDA��
COUNTYOFORIDA41
The fo�,oing instrug as a knowledge efore me
this / da rof�_, 20 by
The forgoing instrument was cknowiedged before me
this%�� day of 1)%fl9`� . 20,by
i� I.SA �.
LY 1211..7L— /{ . J /ftY 1 S
Name of person along statement
Name of persf making statement
Personally Known f�OR Produced Identification
Personally Known OR Produced IdentificZA ation
_
Type of Identification
Type of Identification
Produced
Prod ed
D
�J
(Signature of N ry Public -State of Florida)
Signa Notary Puhiic 'fEr f Flod0�,ission # GG 104656
,LWYP RHONOAS ROWE
N � Ex fires May 79, 2021
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Commission No. C�Rdlon#GG104656
Commission No. aan�ealludgaLNo�ary Servkea
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N� cr Expires May 19, 2021
'�Fov P°p Bmdadrxm Budget Note7Sarvies
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