HomeMy WebLinkAboutWS 7 - Building Permit App l,D
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number;
1
•
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 Residential X
PERMITTYPE: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS)
PROPOSED IMPROVEMENT LOCATION:
Address: sZD'L flV1mnYU� placa
Property Tax ID#; Lot No.
Site Plan Name: WATERSTONE-PHASE ONE Block No. 3
Project Name: ASPIRE AT WATERSTONE
DETAILED DESCRIPTION OF WORK:
NEW CONSTRUCTION PER PLANS
SINGLE FAMILY RESIDENCE(SFR)
/lt ht&- - A - I�rlhC
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank —Gas Piping ✓Shutters ✓Windows/Doors
✓Electric [Plumbing Sprinklers _Generator Roof Pitch
Total Sq.Ft of Construction: Ile0'2- Sq.Ft.of First Floor: I V 104
Cost of Construction:$ I D17 Septic Building Height:lk'�t1.
B5-4 Utilities: ✓Sewer _Se
OWNER/LESSEE; CONTRACTOR:
Name I(EVIN BORKENHAGEN Name;JOSEPH SPALT
Address:3601 QUANTUM BLVD Company:K.HOVNANIAN FLORIDA OPERATIONS,LLC
City: BOYNTON BEACH State: FL Address:3601 QUANTUM BLVD
Zip Code: 33426 Fax: City: BOYNTON BEACH State:FL
Phone No. 561-364-3316 Zip Code: 33426 Fax:
E-Mail: KWIRTH@KHOV.COM Phone No 561-364-3316
Fill in fee simple Title Holder on next page(if different E-Mail KWIRTH@KHOV.COM
from the Owner listed above) 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. Jt
I
SUPPLEMENTAL CONSTRUCTION LIEN 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 BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto do the work and installation as Indicated.
I certify that no work or installation has commenced priorto the Issuance of a permit.
St.Lucie County makes no representation that is granting a ermit will authorize the ermit holder to build the subject structure
which Is In conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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-residentlal 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 COMMENCEMEN MUST BE RECORDED ANO
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO BTAIN FINANCING, CONSULT
=OLesseelCantracw—as
TTORNEY BEFORE RECORDING YOUR N TIC OF C MENCEMENT."
Agent for Owner Signature of Co ra for/license Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF PALM eEAOH COUNTY OF TIC
The f going instrument was acknowledged before me The f going instrum .n was acknowledged before me
this�dayof YIA&I EMI by this rdayof 20U by
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
KE4NotaryA,n.
_'ti 'Y•°••.,••.
_ KEVIN WIRTH
gnature of Notary Pu If pf e r a
c; m ss Ignature of Notary Public-St TEA da) Commission N GG 9776 7
?;ar h My Comm.E023 �`@•.o!;,"•. My Camm.Expires Se 29,2 3 Commission No. GGasrar nded thl Nssn. Commission No, GGe17a7t Bond�ggl�6h National Nota A
REVIEWS FRONT ZONING R PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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