HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO UST BE COlbi,, 2'TED FOR APPLICATION TO BE ACCEPTED — ` ^� / C�9
Date: �- Permit NumberD� �D `
O RF�FIV
° " ° Building Permit Application FAR F°
a loll Planning and Development Services er ittrng
Building and Code Regulation Division Commercial ResidentialQq
2300 Virginia Avenue, Fort Pierce FL 34982 qtY
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: COASTAL CONSTRUCTION AND DESIGN, INC.
PROPOSED„1MPRPVEMENT�:LOCATION
Address: 4852 WATERSONG WAY
Property Tax ID #: 2531-500-0058-000-6
Site Plan Name: LOT 44 WATERSONG
Project Name: WATERSONG
DETAILED DESCRIPTION OF°WORK:
CONSTRUCTION OF A SINGLE FAMILY HOME, 4 BEDRROMS AND 5 1/2 BATHS.
New Electrical Meter YES
Second Electrical Meter
"CONSTRUCT ION 'I'NFORMATION:;
Lot No. 44
Block No.
Adnal work to be performed under this ermit — check all that apply: /
ditiMechanical V Gas Tank 7as Piping — Shutters V Win ows/Doors — Pond
Electric 1� Plumbin V S rinklers Generator Roof 2. Pitch
— — g — p — —
Total Sq. Ft of Construction: 5698
Cost of Construction: $ 1,150,000
Sq. Ft. of First Floor: 1720
Utilities: Sewer —Septic Building Height: 30'-5.5"MHR
OWN ER/LESSEE w. ;'
-CONTRACTOR.
Name MARIO ARBUCCI
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S.l1PPLEMEN7"AfL CNSTRUCTTION LIEN LAW INFORMATION 4 «�� ''
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: DAMES BUSHOUSE PE
Name:
Address: 3300 NE 10TH TERR STE 24
Address:
City: State:
City: POMPANO BEACH State: FL
Zip:33064 Phoness4s56-2zo3
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County nd postgo on the jobsite before the first inspection. If you i t n to obt n financing, consult
with lenderAfAn attoohev hefnre rtnmmPnrinv xunrk nr rarnMina..ni0lf r-- ..+
x
Signatur o Owner/ see/Contractor as Agent for Owner
Signature of ontract r/License Holder
STATE OF FLORIDA /
STATE OF FLORIDA
COUNTY OF � (ifjCLG
COUNTY OF 1-42IC4�Ie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
sical Prese ce r Online Notarizationysical
this day of 2020 by
Presence or Online No�tarization
this -0 day of ao.�«� 2010 by
Name of person making statement.
Name of person making statement.
Personally Known bl OR Produced Identification
Personally Known 4,e—_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produce
(Signature of Notaryu lic- State of Flor' a)
(Si ature of Notary ublic- S e of Florida )
Commission No. WEMULROONEY
ommission No. �T (Seal)
'sR MY COMMISSION # HH 010Ii45
,`.a'x?�'., CHRISTIN5MULR
REVIEWS
FRON
COUNTER
CEO, Fl..o
PLANS
VEGETATION
S,51�cu
Y 0
a
tEV
REVIEW
REW
REVIEW
REVIEW
d
DATE
RECEIVED
DATE
COMPLETED
ev. 0