HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CONirC� rED FOR APPLICATION TO BE ACCEPTE6
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Date: D v \ 2019 {���J Permit Numbe1rl:
SCANNED
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Building Permit Application AUG 1 tale
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxx
PERNAITTYPE: Single Family Residential
PROPOSED IMPR VEMENT LOCATION:
Address: 97 7 9 AJ—m Aaas Dy- Fort Pierce rL �3. JAI,r
Property Tax ID #: 2310-502- Oa 9a - 600 - p
Site Plan Name: Palm Breeze Club
Project Name: Morningside Phase IIA
50I:]'_11 9 1 Y�T:112NIS]►EelXLfL978:
Construct New Sin!
Residence 3 Bedroom,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
'Mechanical _ Gas Tank _ Gas Piping Shutters
Electric ✓Plumbing _Sprinklers 'Generator
Total Sq. Ft of Construction: oZ oLOU
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: ✓Sewer _Septic
Lot No. 196
Block No. NIA
Windows/Doors
Roof Pitch
le, 7 '-1
Building Height:
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: _
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
one 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)
ails-lndh . r&IO-@renarhomes.com
State or County License CBC1261228
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRILli
F LIEN LAW INFORMATION.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone
State: _
FEE SIMPLE TITLE HOLDER:
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.
no
build the subject structure
may restrict or prohibit such
is which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 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
commencing work or recording vour Notice of Commencement.
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Auta LPA�
Slgnatu of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lc�ense Holder
i
STATE OF FLORIDA
COUNTY OF -+ LV
STATE OF FLORIDA
COUNTY OF S+ Luci
exe
e,
The forgoing instru ent was acknowledged before me
The forgo enwas acknowledge before me
this % dayof 20_ by
this day of 201J by
M he 1 L
l��ex�n PL/1
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification_
Personally Known / OR Produced Identification
Type of Identification
Type of Identification
Produced
ProducedklI.. --^-- � � p
AA�
(Signature o Public- Sta a of Florida)
rgnat tlbiic- State of Florida )
Commission,t�p.n RHONDASROWE(Seal)
`PaYRHONDASROWE
Commission No. se&
2�' '' � Comm isa1&Batj 104856
.....'io commissiantl GG104656
r d Expires May 19, 2021
t e Expires May 19.2021
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Rev.8/2/17