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HomeMy WebLinkAboutWS 52 - Building Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: r - 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: S20 1 Aymin& Qwi Property Tax ID#: 131 I 17t2V-+ Lot No. Site Plan Name: WATERSTONE-PHASE ONE Block No. 3 Project Name: ASPIRE ATWATERSTONE DETAILED DESCRIPTION OF WORK: NEW CONSTRUCTION PER PLANS SINGLE FAMILY RESIDENCE(SFR) 5AW - 5 - 1_eFk 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: Sq.Ft.of First Floor: ne Cost of Construction:$110 r R 9S Utilities: ✓Sewer _Septic Building Height: IpL 3 3 if OWNER/LESSEE: CONTRACTOR: Name KEVIN 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. 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 prior to the Issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conflict with anV 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 se "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1 OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST B RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FI NCING, CONSULT WITH YOUR LENDER O ATTORNEY BEFORE RECORDING YOUR NOTICE OF O N NT." 77� U9 Signature of O er/Les Contractor as Agent for Owner Signature of ContractorAl nu Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF P"BEACH The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me this J_day of ,20_j by this_!�_day of Sj'�,e 201V 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 ty:Tvya:,,., KEVIN WIRfiH ;:iiav>ok.,. KEVIN WIRTH e'.r to - tay.RUWIc=-StatsafFA.rid I gnature of Notary Public- irida6irmisdon p 4G 917471 nature of Notary Public forid4unission#GG 917671 .. or ha..•' My Comm,E%pllef 69p 79,2 2 '.�j,or ry..•' My Cemm.Expires Sep 29,20 3 Commission No. 00017a7I Bond�f u¢h Netlam!N9t=IY o mission No. GG917671 Bonded National Notary Ass . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.