HomeMy WebLinkAboutWS 53 - Building Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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- 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: 5'L05' AYWNYUv P10-44
Property Tax ID#: 1311 Q'fmi-I'-'0004 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)
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
�Mechanlcal _Gas Tank _Gas Piping ✓Shutters ✓Windows/Doors
✓Electric (Plumbing Sprinklers _Generator _/ Roof Pitch
Total Sq. Ft of Construction:�/ �✓'I�1 Sq. Ft.of First Floor: 11
Cost of Construction: Utilities: ✓Sewer _Septic Building Helght: b
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 BVAC Is$7,50D or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —NotApplicable 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 yy makes no representation that is granting a ermft will authorize the permit holder to build the subject structure
which is In contlict with any applicable Home OwnersAssoclation 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 RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENJ MUST BE RECORDED AND
POSTED ON THE JOB_4W BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 98TAIN FINANCING, CONSULT
WITH YOUR LENOE AN ATTORNEY BEFORE RECORDING YOUR N TI OF C AMENCEMENT."
Signature of ner ;W Contractor as Agent for Owner signature of co ractor/Lkense Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF PALMBPACH COUNTY OF PA-BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,day of 7SiA_% 20_U by this, day of 2010 by
KEVIN 60RKENHAGEN 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
tjJY Oo KEVIN WIRTH
.'i •`'"0''° r ' ^' Notary Public-Sta I da
ignature of Notary Public- if
I :idl9Qrry Public-State of Flo .A nature of Notary Public-St Ayomm sslon k GG 917 7
P` Commission p GG 91767 '••.••.•' Comm.Expires Sep 2 , 2)
.°f�?: �y Bon d t
Commission No. GG917671 Bond �m.Expires Sep 29,2 � mission No. GG917671 ough National Nota sr,
r ugh National Notary sn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
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