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HomeMy WebLinkAboutBuilding Permit Application 'I All APPLICABLE INFO MUST�BErOMPLETED FOR APPLICATION TO BE ACCEPTED Date: r�' ��' Permit Number: j BuildingPermit Application pe� ,tfn9 240 Planning I uilding d Code Regulation Division Band 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _ PERMIT TYPE: RESIDENTIAL PROPOSED IMPROVEMENT;LOCATION, :,, Address: 4824 WATERSONG WAY FORT PIERCE FL 34949 Property Tax ID#: 2532-500-0051-000-7 Lot No.37 Site Plan Name: WATERSONG Block No. Project Name: WATERSONG DETAILED'USCRIPTION OF WORK: CONTRUCTION OF A TWO STORY HOME OVER A NON-HABITABLE GROUND FLOOR CONSISTING OF 4 BEDROOMS AND 5 1/2 BATHS. Fc_6NSTRUCTI0JN'rINF0R'MATl0N: Additional work to be performed under this per it—check all that apply: _M' echanical V"as Tank V Gas Piping _Shutters l� Windows/Doors V Electric V Plumbing sprinklers _Generator V Roof 7/12 Pitch Total Sq. Ft of Construction: 5698 Sq. Ft.of First Floor: 933 Cost of Construction: $ 1,100,000 Utilities: _Sewer _Septic Building Height: 30'-51/2"MHR i OWNER/LESSEE CONTRACTOR: Name MARIO ARBUCI Name:MARIO ARBUCCI Address:4832 WATERSONG WAY Company:COASTAL CONSTRUCTION AND DESIGN, INC. City: FORT PIERCE State:_ Address:4832 WATERSONG WAY Zip Code: 34949 Fax: City: FORT PIERCE State:FL Phone No.772 260-7514 Zip Code: 34949 Fax: MARBUCCI@COMCAST.NET 772 260-7514 E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail MARBUCCI@COMCAST.NET from the Owner listed above) State or County License CRC013539 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. I i SUIPLEMENTAL CONSTRUCTION LIEN LAW INFYORMATION �, . . , DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:-'s _Not Applicable Name:JAMES BUSHOUSE PE Name: Address:3300 NE 10THTERR Address: City: POMPANO BEACH State: FL City: State: Zip: 33064 Phone 954926-2203 p Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: 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 OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTE O OBTAIN FINANCING, CONSULT WITH YOU E OR AN ATTORNEY BEFORE RECORDING YOUR NO CO AENCEMENT." i Signat e f Owne essee/Contractor as Agent for Owner Signature Co ctor/License Holder STATE OF FLORIDA /CC STATE OF FLORIDA COUNTY OFy��o© ,(.(I COUNTY OF_ v� lM u_4 The for oing instrument was acknowled efore me The forgoing instrument was acknowledg efore me this day of 20 y this_(2day of ! 9 .20 by X10Kkc-G► 1 ��1�n &Lou C ' Name of person making statemen . Name of person making statement. Personally Known OR Produced Identification ("L rsonally Known OR Produced Identification Type of Identificatio Type of Identification Produced (o Produced — � FA (Signature o (Signature 0 ry Public-Stat f Florida) ELLEN MUMHN BP�.State of Florida-N tary ublic aunt, Commission ion # ��5 � Fi'�'"�Yp61°_ Seal) 079 Commissio m; 11,019 F � o\ My Commission Expires tate of Vf1 u` October 22, 2.022 :,'A or.` COl7) F�Orida- UC'HN ---- nnn REVIEWS FRONT ZONING a SUPERVISOR PLANS VE yoC �rl7c byres ,C ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW 2 REVIEW DATE RECEIVED DATE COMPLETED ev- ' I .I i 'I