HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COhrr'C'ETED FOR APPLICATION TO BE ACCEPTED
Date: a"5-'20 2n Permit Number: )o o q' o 0? 0
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 X
PERMIT TYPE: RESIDENTIAL
PROPOSE`DrIMPROVEMENTrLOCATION,:
Address: 4800 WATERSONG WAY FORT PIERCE FL 34949
Property Tax ID #: 2532-500-0045-000-2
Site Plan Name: WATERSONG
Project Name: WATERSONG
-0 LIP S-A6
Lot No. 31
Block No.
DETAILED, DESCRIPTIONOF''WORK '
CONTRUCTION OF A TWO STORY HOME OVER A NON -HABITABLE GROUND FLOOR CONSISTING OF 4 BEDROOMS AND 5 1/2 BATHS.
JCO N STR UCTI O N' I N FO R MATI O N
Additional work to be performed under this permit— check all that apply:
✓Mechanical _.J/GasTank ✓Gas Piping _Shutters V Windows/Doors
VElectric Plumbing t/Sprinklers _Generator '✓Roof 7i12 Pitch
Total Sq. Ft of Construction: 6249 Sq. Ft. of First Floor: 1049
Cost of Construction: $ 1,150,000 Utilities: VSewer _ Septic Building Height: 30'-51/2"MHR
(�WNERf L ESSEEr'' _ :Y xi
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:
E-Mail: MARBUCCI@COMCAST.NET
Phone No 772 260-7514
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.
SUPyPLENIENTAL CONSTR
ON LIEN LAW INFORMATION
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: DAMES BUSHOUSE PE
Name:
Address: 3300 NE 10TH TERR
Address:
City: POMPANO BEACH
State: FL
City:
State:
Zip: 33064 P h o n e 954 926-2203
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 F URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP MENTS 0 YOUR PROPERTY. A NOTICE OF CO NC NT MUST BE RECORDED AND
POSTED ON TIE J SITE EFORE THE FIRST INSPECTION. IF YOU NI� OBTAIN FINANCING, CONSULT
WITH YOU OR A ATTORNEY BEFORE RECORDING YO fOF COMMENCEMENT."
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Signature A Owner/ Lessee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA {` ,,, di,
OF �5 Wa
STATE OF FLORIDA
S � ALL
COUNTY •
COUNTY OF _0t
The forgoing instrument was acknowledged before me
The oing instrument was acknowledged before me
for
this 15{d"ay of AQ I A S� 20?D by
this day of 20 AZby
0 Nzwor'l
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 Identificati n
Produ ed
Produced
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( 'gnature of Notary ublic- State o
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Commission No.
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# 2 0079
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February
SERVISUR
REVIEWS
FRONT
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FLA173
VEGETATION
SEA TURTLEMANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19