HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2) '�'5 I Qb Permit Number: 2-oo3 o0o/
�` •Y RECEIVED
Building Permit Applicati n MAR'2 5 1,, 9
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1SS3 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS)
Address:
Property Tax ID #: I q 1; ' l OOD 15 00040 Lot No. U
Site Plan Name: WATERSTONE - PHASE ONE Block No. 3
Project Name: ASPIRE AT WATERSTONE
11 DETAILED DESCRIPTION OF WORK: I
NEW CONSTRUCTION PER PLANS
SINGLE FAMILY RESIDENCE (SFR) 2rAr "I G
CONSTRUCTION' INFORMATION:
Additional work to be performed under this permit— check all that appl
Jrechanical _Gas Tank Gas Piping shutters //JWindows/Doors
v Electric _Plumbing sprinklers _Generator 1/Roof Pitch
Total Sq. Ft of Construction: a 11 1� Sq. Ft. of First Floor: 1,06
Cost of Construction: $ _WXX Utilities: Ysewer _Septic Building Height:
OWNER/LESSEE•:
CONTRACTOR:
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. 561-364-3316
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
"T (Vt
SUPPLEMENTAL CONSTRUCTIONLIEN LAW? INFORMATION:
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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: om additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to a other non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COM EN MENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y , EN TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU I E F COMMENCEMENT."
Signature of Owner/ Lessf>racror as Agent for Owner
Signature Contractor/License Holder
STATE OF FLORIDA
STATE O FLORIDA
COUNTY OF PALMBEACH
COUNTY OF PALmia AcH
The forgoing instrument was acknowledged before me
this '� day of IbilMi% 20 by
The forgoing instrument was acknowledged before me
this of 20 Q by
.
-4:,— y ,% ,
KEVIN 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 f Notary Public-
(Signature of Notary Public- S
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_ i*+^ii�:� NEVIN WIRTH
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Public -State of Flatlda
Commission NO. GG917677 ,:,c My(Seal�f-nes
Commission NO. GG917677
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Bonded through Nadcnal Notary Assn.
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dcnded through NaHanal Notary Assn.
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SUPERVISOR
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DATE
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DATE
COMPLETED
Rev. L///1y