HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:L\Nk-P'V019
t*s
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: Iq- lJ 1
Coe C- RECEivea
(D2-9 ( SEP 12 2019
Building Permit Application
ST. Lucie County, Permitting
Commercial
Residential xxxx
PERMITTYPE: Slnde Family Residential By —I
PROPOSEDIM
Address: Dt-I VG Fort Pierce
Property TaxlDq:2310-502- plt0-_000
Site Plan Name: Palm Breeze Club
Project Name: Momingside Phase IIA
DETAILED DESCRIPTION OF WORK:
Construct New Single Family Residence _ Bedroom,
CONSTRUCTION INFORMATION:
Lot No. -A-C7a_
Block No. N/A
Additional work to be performed under this permit -check all that apply:
`" Mechanical _Gas Tank _Gas Piping ✓ Shutters ✓ Windows/Doors
✓Electric Plumbing _Sprinklers _Generator ✓Roof Zo lg- Pitch
Total Sq. Ft of Construction: _ 2.33.E Sq. Ft. of First Floor: %79Cv _
Cost of Construction: $ M4 75-. Utilities: _ Sewer Septic Building Height: (br 711
OWNER/LESSEE:
CONTRACTOR:
Name',- (-1, +� �. .. prnE R-C h
Address: . Io5a.1-- A=1(�rlp�-- - -
Name: _ Glenn Allen Davis II
Company: Renar Builders, LLC
City: We %f1 (LTA ` State: FL
Zip Code: 33 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 772692-7800
E-Mail: rhondarowe@renarhomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lkbnj..rbwc@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"?CONSTRU�I
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FIN
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Applicable
Name:
Name:
_Not
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECDRDINn YnHR NnnrF nF rnMMFNrFMFNT "
Signature o Owner/ Lessee/Contractor—arAgent for Owner
Signature of Contractor/License Holder
STATED: LORIDA
STATE OF FLORIDA
COUNTY F S+. Luc4,r-
COUINTYOF Sd- L.ucUt
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this It dayof Se.ni- 2011 by
this It dayof 20 11 by
L I SA m. W F—Lz
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I e-n n 'D Pc.(1 S r
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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
Produced
(Signatu f Notary Public- State of Florida)
(Signatu of Notary Public- State of F ida) RHONDASRONE
rvu RHONDASROWE
Commission No. '�5µ.°,� C Dan#GG104656
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'p' .-' C mission#GG10494
Commission No. + ea
Expires Mayt9,2021
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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