HomeMy WebLinkAboutBUILDING PERMIT APPLICATION6-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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:
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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
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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)
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DATE
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Rev. 8/2/17 1 t 1