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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION6- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q /� Date: Permit Number: S ---- -- C RECEIVED JUN 241019 Building Permit Ap licati®n Permitting ePartment p Planning and Development Services St. Lucre county 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 PROPOSED IMPROVEMENT LOCATION: StLucieCou Address: i4-13 6!� Fort Pierce, FL 34996 Legal Description: Lot &_Zo Phase IIA, Palm Breeze Club Property Tax ID #: a3/0 — �5� c2-- 00.5, 000 — O Lot No. S—Z.0 Site Plan Name: Palm Breeze Club Block No. NIA Project Name: Momingside Phase IIA Setbacks Front IS Back: 15 Right Side: 6-5 Left Side: 19•66 DETAILED DESCRIPTION OF WORK: G� s �}2C Cf 72o_u_1 ���� ,QcLZk� oZ Cct�v I CONSTRUCTION INFORMATION: Aacittional work to be nertormed under tispermit—check all apply: RJHVAC Gas Tank Gas Piping Shutters Windows/Doors HElectric 0 Plumbing ®Sprinklers I]�_ Generator Roof Roof pitch Total Sq. Ft of Construction: a_-_�.3(a Sq. Ft. of First Floor: 1-7 lv 3 c�rrf'� ✓ Cost of Construction: $ I � s-(& U • Utilities: Sewer OSeptic Building Height: 1 % v 1 p rr d-i46 b sG 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 Address: 3725 S East Ocean Blvd, Suite 101 City: Stuart State: FL Zip Code: 34996 Fax: 772 692-9155 Phone No.772 692-7800 Zip Cade: 34996 Fax: 772 692-9155 E-Mail:rhondarowe@renarhomes.com Phone No. 772 692-7800 Fill in fee simple Title Holder on next page (if different E-Mail: rhondarowe@renarhomes.com State or County License: CBC1261228 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCT ORMAT1ONc DESIGNER/ENGINEER: Name: Not Applicable MORTGAGECOMPANY: Not Applicable Name: Address: Address: City: Zip: Phone State: _ City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: _Not Applicable 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 certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie County makes no representation that is which Is in conflict with any applicable Home Own structure. Please consult with your Home Owners build may 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: Yourfailure`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 commencing work or recording vour Notice of Commencement. Signa re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/Ucense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S-% LOcA P COUNTY OF S4— L.UC_ ,-E , The forgoing instrument was acknowledged before me The forgoing Instru ent was acknowledged efore me this Zl dayof J[t_fxa 20� by this u day of �! a .20 Viby l--.t SA, M rZai8 G Ie- n n ,-,DA,/1 S 5 Name of person making statement Name of person making statement Personally Knowny OR Produced Identification_ Personally Known OR Produced Identification Type of Identification Type of Identification ProduDcced Produced 1 (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) CommissionAiloasNmowa6onanuioeovon aov(!i§aQ Commisk(anq�. oununnconWE (Seal) IZOZ 6L FeW saildx3 F �� ; - Commission # GG 104656 99940190quoisslwwop a ur Expires May 192021 MONSVG OH and04 rn.O BondwThruBu etNotery5ervkas REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED L� DATE COMPLETED Rev. 8/2/17 1 t 1