HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:a�-\ l aa` Permit Number: da da"a1G5
ST7
. LUCIE
CO(.I NT
F L O R 1 D A
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
CBDG Funding
RECEIVED
FEB 0 7 2022
St. Lucia County
Permitting
Residential X
PERMIT APPLICATION FOR: COASTAL CONSTRUCTION AND DESIGN, INC.— S�: K
PROPOSED IMPROVEMENT LOCATION:
Address: 4816 WATERSONG WAY, FORT PIERCE FL 34949
Property Tax ID #: 2532-500-0049-000-0
Site Plan Name: WATERSONG
Project Name: WATERSONG
DETAILED DESCRIPTION OF WORK:
Lot No. 35
Block No.
CONSTRUCTION OF A TWO STORY HOME OVER A NON -HABITABLE GROUND FLOOR CONSISTING OF 4 BEDROOMS AND 5 1/2 BATHS.
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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 X Roof 7/12 Pitch
Total Sq. Ft of Construction: 6%619 Sq. Ft. of First Floor: 29
Cost of Construction: $ 1,200,000.00 Utilities: X Sewer —Septic Building Height: 30'-5 1/2"MHR
OWN ERAESSEE:
CONTRACTOR:
Name SUSAN & ANDREW SCEARCE
Name: MARIO ARBUCCI
Company: COASTAL CONSTRUCTION AND DESIGN, INC
Address: 245 EDMOR ROAD
Address: 4800 WATERSONG WAY
City: WEST PALM BEACH State: FL
City: FORT PIERCE State: FL
Zip Code: 33405 Fax:
Phone No. 817 688-6480 E-
Zip Code: 34949 Fax:
Mail: SUSAN.SCEARCE@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
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.
t
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: JAMES BUSHOUSE PE
Name:
Address: 3300 NE 10TH TERR
Address:
City: POMPANO BEACH State: FL
City: State:
Zip: 33064 Phone 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 conflicts with any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 Notic of Commencement may result in paying twice for
improvements to your property. A Notice of C mencement must be recorded in the public records of St.
Lucie County and posted on the jobsite,for he first inspection. If you intend to obtain financing, consult
with lender or an attorney before Ao nc g work or recording your Notice of Commencement.
Signature of Contractor -or - Owner Builder as applicable
STATE OF FLORIDAt-)'
COUNTY OF
Sworn to (or affir ed) and subscribed before me of IPhysical Presence or Online Notarization
this day of� 20ZA by yynM® 4rbV,
Name of person making stat nt.
Personally Known OR Produced Identification
Type of Identification Produced
117
(Signature of Notary Public- State of Florida)
Commission N a�� (Seal)
�n Notary Pub%c State of FWkJ&
+�P Edward
Medina
MY Commission 22 253523
612022xpins 11/2�
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Rev 10/12/21