HomeMy WebLinkAboutWS 54 - Building Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r 1
COUNTY
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
PERMIrTVPE: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS)
PROPOSED IMPROVEMENT LOCATION:
Address: 1M A W4tw ylaz&
Property Tax ID#: 1 1111XI71q$00t7I Lot No. _
Site Plan Name: WATERSTONE-PHASE ONE Block No. 3
Project Name: ASPIRE ATWATERSTONE
DETAILED DESCRIPTION OF WORK:
NEW CONSTRUCTION PER PLANS
SINGLE FAMILY RESIDENCE(SFR)
Edwt - R - W+
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank _Gas Piping ✓Shutters ✓Windows/Doors
✓Electric [Plumbing -x[sprinklers _Generator _/ Roof Pitch
Total Sq. Ft of Construction: 21l$ Sq.Ft.of First Floor: j/o no
Cost of Construction:$ IIDrSg9 Utilities: ✓Sewer _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: FIL 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.
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 TITLEHOLDER: _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 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 non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE IT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT M T BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O&AN ATTORNEY BEFORE RECORDING YOUR NOT1ICdOF COMMENCEMENT."
Signature of 0yyyy er/Less /Contractor as Agent for Owner Signature of Contrac or Icense Holder
STATE OF FLOAIDA STATE OF FLORI A
COUNTY OF PALMSEACH COUNTY OF PAua Br c"
The forgoing instrum�ej�t,was acknowledged before me The forgoing instrume Was acknowledged before me
this day of�u 20�0by this day of IAL 20�by
KEVIN aORKENHAGEN 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
. KEVIN WIRTH
�a<r+• �''., KE41N WIRTH
Notary Public-State of a ida
Notary Public-State o(FI r
91
i nature of Notar �t�917671 ignature of Notary Public-St .., ,da Hy Comm.Expires Sep 21
, 23
g c n �x�ires Sep 29,2023 Bonded through National Nota
Bonded throng at nal Notary Assc. GGB77W1 sn,
Commission No. GG Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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