HomeMy WebLinkAboutBuilding Permit Applicationr'
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \J Permit Number: lylZ— LVOV
• Building' PermitAppllc tion JAN . _0
Planning and Development Services a
Building and Code Regulation Division Perrnitting Dr-P,-,rt-lnen
2300 Virginia Avenue, Fort Pierce FL 34982 s t. Lucie ': O u rl'Cy, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential—X—
PERMIT TYPE: New construction - Single Family Residence
PROPOSED IMPROVEMENT LOCATION:__
Address: SZIo ArWtiMt P61L
Property Tax ID #: 1511 — '4= - 61Ifel Lot No. S
Site Plan Name: WATERSTONE - PHASE 1 Block No. 3
Project Name:
WATERSTONE
New construction - SFR - Spec home
CONSTRUCTION"INFORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical _ Gas Tank —Gas Piping X Shutters X Windows/Doors
X Electric X Plumbing X Sprinklers _Generator X Roof St 11— Pitch
Total Sq. Ft of Construction: 21 `d (03 Sq. Ft. of First Floor: qb1%
Cost of Construction: $ 120 t Q42, Utilities: X Sewer _Septic Building Height: 95' N W 1
OWNER/LESSEES
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 CBC 1263043
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.
Name:_
Address:
City: _
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
LIEN LAW
IVOL Hpplicaole MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State: City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
City: I City
Zip: Phone: I Zip:
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 RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT M E RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOy INTEN�j TOO IN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR dOXICM COMMENCEMENT."
X ffZ �
Signature of Owner/ lissee ractor as Agent for Owner
Signatur f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beach
COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me
this, day of ��20( by
The forgoing instrume'nt. was acknowledged before me
this day of^:�"h .20�y
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
(Signature of N ary Public- State o r
..v ou'•, KEYIN WIIITH
%`€[•�`: Notary Public - State of Flan
i""
Commission No.�L, :xH91 Commission.. GG 917671
"�•'.{cr n?�'` My Comm. Expires Sep 29, 209
����fonded through Nanenal Notary
ignature of otary Public- State of
a
mmission No.
n.
vJ KEVIN WIarH
o•
?� Notary PUCIic- State of Fla
fy• Commission-GG 91767
1
s"?or ,.• Comm. Expires cep 29, 2
f
forced through Notary
4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
f, ,
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: v I00
(2rp C
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: i2lo Ft. Pierce, Florida, 34951
Property Tax ID q: 1311 — zlroo - p I p00 - Lot No. S
Site Plan Name: Waterstone - Phase 1 Block No. 3
Project Name: Waterstone
DETAILED DESCRIPTION OF WORK:
New construction, sir
INFORMATION:
Additional work to be performed under this
✓ Mechanical _ Gas Tank
✓ Electric ✓ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Xermi ✓
—check all that apply:
as Piping ✓Shutters Windows/Doors
_✓Sprinklers _ Generator 1// Roof ✓ Pitch
Sq. Ft. of First Floor: 9 fa4fSF ie i SJ
_ Utilities: /Sewer _Septic Building Height: ZS 9
r/Z"
OWNER/LESSEE:
CONTRACTOR:
Name Bt./
Name: Joseph Spalt
Address: '3
Company: K. Hovnanian Florida Operations, LLC
City: G A e
Zip Code: 3 �L(Z Fax:
Phone N�y, W
State:f-(-
t4 SG
Address: 3601 Quantum Blvd
City: Boynton Beach State: FL
Zip Code: 33426 Fax:
Phone No 561-364-3316
E-Mail: f',014'1s cit%Oi
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail kwirth@khov.co
tate or-County-Licens Florida ,
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. LAIN INFORMATION.
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
is in Home Owners Association bylaws that
which conflict with any applicable rules, or and covenants 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 COMMEN DENT MUST BE RECORDED AND
bO
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y NT OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO NOT O COMMENCEMENT."
ev.
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
i
i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sig atur tractor/License Holder
STATE OF FLORIDA
STAT O FLORIDA
COUNTY OF Fe,m Beach
COl} ,TY OF Perm seem
The forgoing instrument was acknowledged efore me
No✓
The /f/or oing instrumen�tyvas acknowledged before me
this d day of 20 /I
thisQ day of A/QV• • 204 by
'_by
'�iw(n
��'wI
Joseph Spalt
Name of person making statement. 6666
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
KNpI NEVILLE
Notary
,
public -State of Flalda
( Ignature of Not,", � �c-f8;t6h8ndfx61PPAA i$ oft
(Signature of Notary Pub Ic- St e�gf" nda) KEVIN wIRTN
`••:•�^'
- amidM �hreugh Natiaiul NohryAsm
t8� Notary Public- State of Florida
� 1 ammi ien.°GG 917671
��?pr,n�Mvlaee��rvtref5ep29,202J
Commission No.
Commission No.
" Banded through Nanaral NotaryAssn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
loll
RECEIVED
I
DATE
COMPLETED