HomeMy WebLinkAboutBuilding Permit Application 4-22-20All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application permtr z49
Planning and Development Services 9r r, ngUe
Building and Code Regulation Division upPCpn ent
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: New Monument Sign
PROPOSED, IMPROVEMENT LOCgTIQ,N..,
Address: See Exhibit "B" of the attached letter from Waterstone Community Development District
Property Tax ID #: "' " Lot No.
Site Plan Name: WATERSTONE - PHAE 1 Block No. 3
Project Name: ASPIRE AT WATERSTONE
rYINCTRI ICT ANn) INICTAI I NIF\N WWI[ IMFNT.W.W PFR PI ANS
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: 48 SOFT
Cost of Construction: $ 10,000
_Sprinklers _Generator
Sq. Ft. of First Floor: 48 SOFT
Name KEVIN BORKENHAGEN
Address: 3601 QUANTUM BLVD
City: BOYNTON BEACH State:
Zip Code: 33426 Fax:
Phone No. 561-364-3316
E -Mail: KWIRTH@KHOV.COM
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height: 7'4"
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: JOSEPH C. SPALT
Company: K. HOVNANIAN FLORIDA OPERATIONS
Address: 360,1 QUANTUM BLVD
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax:
Phone No 561-364-3316
E -Mail KWIRTH@KHOV.COM
State or County License CBC#1263043 - SLC#31426
f value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
F5
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.e`
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2aAI A i:011154Tl AS=
SUPP.LEMENTALCONSTRUCTIONLIEN LAW INFORM4TION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
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 Count 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 fitESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT UST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO PETAIN FINANCING, CONSULT
WITH YOUR LENDER O N ATTORNEY BEFORE RECORDING YOUR NOTlqrAOLFCOMMENCEMENT."
Signature of Contra cense Holder
Signature of Owner Lessee/ ntractor as Agent for Owner
STATE OF FLORID
STATE OF FLOR A
COUNTY OF PALM BEACH
COUNTY OF PAIMBEACH
The forgoing instrument was acknowledged before me
this,X day of APRIL 20-12C by
The forgoing instrument was acknowledged before me
this j day of APRIL 2040 by
KEVIN BORKENHAGEN
JOSEPH C SPALT
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification _
Type of Identification
Produced
Produced
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��.o•., KEVIN WIRTH
Notary Public - State of Flori
Commission # GG 917671
•t'vv"o&"'•., KEVIN WIRTH
• �rf;`e Notary Public - State of Florida
n
(Si ature of Notary Publi - S •9'tl�of F TT Expires Sep 29, 2027.
Bonded through National Notary Assn.
ignature of Notary Pu lr6t a oMBI�T a 4xpires Sep 29, 2027
Bonded through National Notary Assn.
Commission No. GG917671 Seal
Commission No. 0( ea
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