HomeMy WebLinkAboutWS 12 - Bldg AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S J
•
- - 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: 516Z410 litu#1 'Plfil101
Property Tax ID #: 13i I ��0/ilx%b Lot No.L?wn_
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) 317e : Vn I �IOAkh-
fiS nyt _A irnh 2 -('ay Stnc�b,Vr�r
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _ Gas Tank _ Gas Piping ✓Shutters ✓ Windows/Doors
✓Electric ZPlumbIng ZSprinklers _Generator V Roof Pitch
Total Sq. Ft of Construction: V -d02-. Sq. Ft. of First Floor: 19 U14
3 ►'
Cost of Construction: $ /170 t '86ill I 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: 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 CB01263043
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:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
COUNTY OF PALM BEACH
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _,Not Applicable
Name:
Address:
Name of person making statement.
Address:
City:
Type of Identification
City:
Zip: Phone:
Produced
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 ermit 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,
accessary 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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INJEND TO 037MN FINANCING, CONSULT
wwu Vnrm r Fruncw nn Ala nrrnRNFV RFFnRF RECORDING YOUR NOTME OF COMMENCEMENT."
Rev. 2///19
Signature of Co trac o /License Holder
Signature of Own Contractor as Agent for Owner
STATE OF FLORIDA
F
STATE OF RIDA
COUNTY OF PALM BEACH
COUNTY OF Awo—H
Theing instrumee t was acknowledged before me
for o
by
The for oIng instrument was acknowledged before me
this7dayof 20g.0by
this day of �I,tIA� ,20,-v
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
ignature of Notary Pub] l -; 'flgfd )j Public - State of Florid
ignature of Notary Public- ta'� �'trI Ja j KEVIN WIRTH
P' Commission p GG 917671
Commission No. G0917671 '`-o nd`=' My(k%q. Expires Sep 29, 202!
�( .- otary public - State of Fla,
l A`,.` union # GG 917fi71
mmission No. GGB77a71 w �. fY
Bonded throw h National Notary Ass
6
�
. PF. Bond d thro NationalSNotary A
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///19