HomeMy WebLinkAbout001 Permit Application - Signed All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: New Single Family Houle
PROPOSED IMPROVEMENT LOCATION:
Address: TBD Southern Star Dr
Property Tax ID#: 2215-700-0008-000-1 Lot No.6
Site Plan Name: Dawson Southern Star Dr Block No.
Project Name: Dawson Residence
DETAILED DESCRIPTION OF WORK:
3,377 Square Foot New Single Family Home. CBS Structure with wood truss and metal roofing system.3 bedroom 4 bath 3 car agrage
New Electrical Meter X Second Electrical Meter
[CONSTRUCTION INFORMATION:
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 _Sprinklers _Generator x Roof 6-12 Pitch
Total Sq. Ft of Construction: 3,377 Sq. Ft. of First Floor: 3,377
Cost of Construction: $ 425,000.00 Utilities: _Sewer x Septic Building Height: 22-10"
OWNER/LESSEE: CONTRACTOR:
Name Michael and Rosaura Sawson Name:Jared Modine
Address: 170 Scotland Yard Blvd Company:Cole Construction Services, LLC
City: St Johns, FL State:_ Address:497 S. Brocksmith Rd
Zip Code: 32259 Fax: City: Ft Pierce State: FL
Phone No.904-615-4659 Zip Code: 34945 Fax:
E-Mail:dawson—on_det@yahoo.com Phone No 772-519-0558
Fill in fee simple Title Holder on next page( if different E-Mail coleconstruction@hotmail.com
from the Owner listed above) State or County License 29778
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:FL Design build inspect construction architecture home inspections Name:
Address: Address:
City: State: City: State:
Zip: Phone 772-3214500 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 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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney befor encing work or recordiqg your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signatur�of C tractor/License Holder
STATE OF FLORIDA STATE O F RIDA
COUNTY OF COUNTY OF
Swgrn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph cal Presen or Online Notarization �Ph sical Presence or Online Notarization
t is ay of 2020 by this day of �,2 2026 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Person ly K own " OR Produced Identification
Type of Iden ifi tion Type Ide io
P ed >✓K w ►C�evl6 Prod ced
(Signature of Notary Public-State of Florida) (Sign ure of tary Publi
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROV
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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