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All APPLICABLE INFO MUST BE WnhPLETED FOR APPLICATION TO BE ACCEF'11 &-�
Date: Permit Number:
SCANNED
BY
St. Lucie Count/
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMITTYPE: Single Family Residential
PROPOSED IMPROVEMENT LOCATION:
Address:q7(,g • Palm Breezes Drive Fort Pierce, FL 34945
Property Tax ID #: 2310-502-0108-000-6
Site Plan Name: Palm Breeze Club
Project Name: Morningside Phase IIA
DETAILED DESCRIPTION OF WORK:
Consruct Single Family Residence
3 Bedroom 2 Bath 2 Car Garage V
Lot No.106
Block No.
I -CONSTRUCTION INFORMATION: - I
Additional work to be performed under this permit —check all that apply:
✓Mechanical _ Gas Tank _ Gas Piping ✓ Shutters "� Windows/Doors
y'Electric ✓Plumbing _Sprinklers _Generator Roof /o /Z Pitch
Total Sq. Ft of Construction: 3p� a i b`Z Sq. Ft. of First Floor. ,*, A I b2
Cost of Construction: $ 103,600 Utilities: VSevver _Septic Building Height: 17' 10"
OWNER/LESSEE:
CONTRACTOR:
Name Renar Homes Morningside, LLC
Name: Glenn Allen Davis II
Address:3725 S East Ocean Blvd Suie 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
Phone No 772 691-7800
E-Mail: rhondarowe@renarhomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail rhondarowe@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.
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SUPPLEMENTAL CONST ' CTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 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
WITHMOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Contrracfb(/Dcense Holder
Signature Owner/ Lessee/Contractor as Agent for Owner
STATE 0 FLORIDA
STATE OF FLORIDA
COUNTY OF siLede
COUNTY OF stwc;e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this IS day of tfo,/�M6� 2011 by
this _jZdayof Qa\1e_vYll--N .2019 by
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Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
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Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida
,far Pue RHONDASROWE
Commission No. r°...... 0
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Rev.2/7/19