HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE C9 D FOR APPLICATION TO BE ACCEPTED
Date:
i
Permit Number: 111i F UVI
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: COASTAL CONSTRUCTION AND DESIGN, I
Address: 4836 WATERSONG WAY, FORT PIERCE FL 34949
Property Tax ID #: 2532-500-44-000-8 Lot No. 40
Site Plan Name: WATERSONG Block No.
Project Name: WATERSONG
CONSTRUCTION OF A SINGLE FAMILY HOME. 4 BEDROOMS, 5 1/2 BATH, 2 FLOORS ABOVE
bkoyxlD C�L.o o,O_ LJ,TH 2
Al�-'A(f.,52
New Electrical Meter X
Second Electrical Meter,
Additional work to be performed under this permit— check all that apply:
X Mechanical X_ Gas Tank X_ Gas Piping _ Shutters X Windows/Doors _ Pond
X Electric X Plumbing X Sprinklers _ Generator )(__ Roof 7/1 2 Pitch
Total Sq. Ft of Construction: 5854
Cost of Construction. $ 1,150,000
Sq. Ft. of First Floor: 2039
Utilities: X_ Sewer _ Septic Building Height: 29'-5.5"MI
rOWNER%L.ESSEEti �r ��ei
CONTRACT,OR<
Name MARK & CATHY MARCHESANI
Name: MARIO ARBUCCI
Address: 334 VIZCAYA DRIVE
Company: COASTAL CONSTRUCTION AND DEE.
City: PALM BEACH GARDENS State:
Address: 4832 WATERSONG WAY
Zip Code: 33418 Fax:
City: FORT PIERCE state: FL
Phone No. 719 440-5855
Zip Code: 34949 Fax:
Phone No 772 260-7514
E-mail: MLEADERSDDR@GMAIL.COM
Fill in fee simple Title Holder on next page ( If different
E-mail MARBUCCI pOCOMCAST.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 HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
i : Y W 7i •P fi t X � f
SUPLfFIVIfhlTi4L �NTRUTIfl CENf1NFRaVIATIONy,�
S t i. � Y oY f ✓l^' S
'� ', ��`.?, r.�,.._'�-. s�- $�j. } 4�k '. ' e .� �Cp t•',li?'..
aA (:"E'� vxu. Y:Fe�...d, �)9. .i„•/'wa ..,4 }.1.... ..1,ksT. �.�.r,. t...r... S�..... a...�•:'�
,r,..; 4i .y f�
... .a, .... .=.f. � 4, 1'3. :^.`�bn. .,w.. ,,.-. ;.?, r ... �-_nS _. .51,-.'U'..� ,�.;i,§r.s3..'.S�v, 'a__;'1'..4... eY.�f.iA:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: JAMES BUSHOUSE PE
Name:
Address:
Address: 3300 NE 10TH TERR STE 24
City: POMPANO BEACH State: FL
City: State:
Zip: 33064 Phone 954 956-2203
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in a public records of St.
Lucie Countyicpost on the jobsite before the first inspection. If you int@hd t obtain financing, consult
with lenders att rnev before commencing work or recording your N�it'i�Ee o ommencement_
Signature Ow r/ Lessee/Contractor as Agent for Owner
Signature of C ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MO rti n
COUNTY OF MQrfi Y1
Sorn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me
J� Physical Presence or Online Notari
o
X Physical Presence or Online Notariza
ion a N
this day of June . 2e�e by
M N
this Isr day ofJun e . 202ft by
BSI m
Ma Arbuce
O ti cO
= �' C
ri0 ArWce i
N
a
Yio I
m
(Men
Name of person making statement.
�, !
Name of person making statement.
z o X
Z U X
N m
Personally Known OR Produced Identi
Rio ,
Personally Known ."C OR Produced Identifi
grab,
Type of Identification
.Produced r L'D I_
Y o $
Type of Identification
r L O 1
be to a
Z g
z
Produced
a
X 01--
r aitulfe,,of Notary Public- State of Florida)
f
igna re of Notary Public- State of Florida)
>
�fON
Commission NAG Gl 1303b (Seal)
�fOH
Commission No. C-G G 1303v (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. S/b/Lu