HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE -ACCEPTED
Date: ��a y l a a Permit Number: �X�{
Pr'
Building Permit Applic �tion vt°
Planning and Development Services MAR 2
Building and Code Regulation Division 2..21�
2300 Virginia Avenue, Fort Pierce FL 34982 • L cie C n
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R 9N tY, Permitting
PERMITTYPE: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS)
Address:
Property Tax ID q: I3 () - 9OD- O10 1 - 0 00 - K Lot No. 5-1-
Site Plan Name: WATERSTONE - PHASE ONE Block No. 3
Project Name: ASPIRE AT WATERSTONE
I,MMILED;DESCRIPTION OF,WORK:.
NEW CONSTRUCTION PER PLANS
SINGLE FAMILY RESIDENCE (SFR) aeo,r &LoO
Additional work to he performed under this permit -check all that apply:
Mechanical _ Gas Tank _ Gas Piping ✓Shutters ✓ Windows/Doors
✓Electric ZPlumbing Isprinkiers _Generator _/ Roof Pitch
Total Sq. Ft of Construction: 2 / / g Sq. Ft. of First Floor: 1t\!16
Cost of Construction: $ ),at Utilities: Zsewer _Septic Building Height:
QWNERLESSEE;
CQNTiRACTgR`
Name KEVIN BORKENHAGEN
Name: JOSEPH SPALT
Address:3601 QUANTUM BLVD
Company: K.HOVNANIAN FLORIDA OPERATIONS, LLC
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax:
Phone No. 551-364-3316
Address: 3601 QUANTUM BLVD
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax:
Phone No 561-364-3316
E-Mail: KWIRTH@KHOV.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail KWIRTH@KHOV.COM
State or County License CBC1263043
it venue or construction is pcouu or more, a xtCunueu wotice of Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 no -residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMME EMEN MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU PTEITO TAIN FINANCING, CONSULT
wtrR vnuR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NO ACE fff B C MENCEMENT."
Signature of Owner/ Lessor as Agent for Owner
Signature of C n ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALmaEacH
COUNTY OF PA M9EJU:H
t
The forg ing instrument was acknowledged before me
lVl/. eAll 2QqDby
Thefor Ing instrument was acknowledged before me
this day of 20aU by
thisday of .
NEVIN BORKENHAGEN
JOSEPH SPALT
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification _
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of NoaryPublic-St; xEnN mmr
(Si natureof Notary Public -St
'Y•xEr Notary Public-Stateofncrida
GG817671 "o .mission. GG 917671
Commission No. •. (SGe(a1{'
Commission No. GG917671
KEVIN Wl ...
1• blic -6tateof Flonda
�' TAy Cohn. Expires Sep 79, 3073
Bonded through Nadcwl Notary Asm.
e`i' s'cbnMssion."GG 917671
o n..!
'*.„, My Comm. Expires Sep 29.7W3
"
Bondedthrou hNarcnalN
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/1/19