HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
Date: Permit Number: �/ 7, O / ( J
co� C, :e by ' RECEIVED
Building Permit Application JUL 0 7 2021-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)-462-1553 Fax: (772) 462-1578
St. Lucie County
Permitting
Commercial Residential X
PERMIT APPLICATION FOR: COASTAL CONSTRUCTION AND DESIGN,
.PR'OPOSED IMPROVEMENT .LOCATION.
Address: 4840 WATERSONG WAY
Property Tax I D #: 2532-500-0055-000-5
Site Plan Name: WATERSONG
Project Name: WATERSONG
Lot No. 41
Block No.
DETAILED DESCRIPTION .OF_WQRK:;:.,
CONSTRUCTION OF A SINGLE FAMILY HOME, 4 BEDROOMS AND 5 1/2 BATHS, TWO FLOOI?:S
AEU F- 14 lio,U - 10+1917-A L�r_ 6PI-A W D F/1100 . 2 0410- &4APk E.
New Electrical Meter YES Second Electrical Meter
~CONSTRUCTION INFORMATION
Additional work to be performed under this permit— check all that apply:
XMechanical A Gas Tank A Gas Piping _ Shutters X Windows/Doors _ Pond
X Electric A Plumbing A Sprinklers _ Generator >( Roof 7/12 Pitch
Total Sq. Ft of Construction: 5864
Cost of Construction: $ 1,200,000
Sq. Ft. of First Floor: 1768
Utilities: X- Sewer _Septic Building Height: 29'-5.5"MI
0111/NER/LESSEE_
�CQNTRACTOR:.:. _
NameAKINS AKINNAGBE
Name: MARIO ARBUCCI
Address: 4 BLACK WALNUT TRAIL
Company: Coastal Construction and Design inc
Address: 4832 WATERSONG WAY
City: PALOS PARK State: I L
Zip Code: 60464 Fax:
City: FORT PIERCE State: FL
Phone No. 818 219-2241
Zip Code: 34949 Fax:
E-Mail: AKINSAKINNAGBE@GMAIL.COM
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
It 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.
'SOP PLEMENTAL"CONSTRU`CTI-0N'LIEN�'LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: JAMES BUSHOUSE PE
Name:
Address: 3300 NE 10TH TERR STE 24
Address:
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 County ost d on the jobsite before the first inspection. If you int d t obtain financing, consult
with lende att me before commencin work or recordin our e o ommencement.
Signature of Owrf6r/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF M4 r-h ►n
Sv�orn to (or affirmed) and subscribed before me of
J� Physical Presence or Online NotariM."".
this � day of Ju ne . 2fR& byYio
Arbuce i
Name of person making statement.
Q ti p'n
Personally Known OR Produced Identii
-
Type of Identifirtiioon
cc o e
" 8
Produced
z
',4SignatuX0f Notary Public- State of Florida )
Commission NAG 0113032 (Seal) :'
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MQr-h n
Sworn to (or affirmed) and subscribed before me
X Physical Presence or Online Notariza ion o N
this ISr day of June , 203& by W-slo N
fAsN
Maria AT-bucc i mien
Name of person making statement.
Personally Known XLORProduced Identific t r! e�
Type of Identification =°
Produced F LO L Z a
'e
i uc �
-(Signaliire of Notary Public- State of Florida ) '
�fox�x
Commission No. (;G Lq 13030 (Seal)
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