HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: m) 31 12011 Permit Number: ) J 12 — 00q $
Ulu , c . - -
BuilcliWPermil Application
Planning and Development services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential.X
PERMIT TYPE: New construction -Single Family Residence
PROPOSEDiIMPROVEMENT LOCATION
Address:
521'i !4✓WIifIGt.
Plet0.
Property Tax ID #:
1'3 11 — Odd — DI
Doo1
b
Lot No. q
Site Plan Name:
WATERSTONE - PHASE 1
Block No. 3
Project Name:
WATE RSTON E
DETAILED DESCRIPTION'OF WORK:
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 .Ss Iy Pitch
Total Sq. Ft of Construction:
233S 1
Sq.
Ft. of First Floor: 141/4-
Cost of Construction: $ /05 ,y3S•
Ob
Utilities:
X Sewer _Septic
Building Height: III; 3�l'+
OWNER/LESSEE:
1
ONTRACTOR:
Name Kevin Borkenhagen
Name: Joseph Spalt
Address: 601 Quantum Blv
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.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
City:
Zip:,
W
Name:
Address:
State: City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
Zip: Ph
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 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 INTEND T0�16T FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEIFBEFORE RECORDING YOUR MOT,iC F C(jKj NCEMENT."
x
X
Signature of Owner/ Lesse actor as Agent for Owner
Signatur on ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beach
COUNTY OF Palm Beach
The fo going instrum nt was acknowledged before me
The for o' g instrum t was acknowledged before me
this day of , 20o�%..g by
this May of 20gb 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 yy
(Signature of Notary Public- State o
11
ignature of tary Public- State ofvEkaddaj.
,,�, ��
Commission No. (A/7 7/ /-bT2
hJrr Y-` Notary Public State of Fla
ryY
� 'I)M c°mmissian ."GG 917671
ccmm. Expires Sep 29,22
da
"�tis KEVIN WINTH
mmission No. 9/ 6'd'I ;���
C1 iy�$E�bIV Pu611c-State of Florl
��7J ., QQommission-GG
y
BanCeC through Natant NctaryAsn.
aa�F: 917671
p' p
;ara4' My Camm. Expires Se 29'20
dcnCea thrau h Na
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. L///19
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number: �` l� lY
S
Building Permit Application
Planning and Development Services
Building and, Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 x
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:'
Address: 521N Arwvilna. 41"e—, W Ft. Pierce, Florida, 34951
Property Tax ID#: 13((-'-7'DO- blt qr 0006 Lot No. N
Site Plan Name: Waterstone - Phase 1 Block No. 3
Project Name: Waterstone
DETAILED DESCRIPTION OF WORK:
New construction, single -family -residence
wot6lrklam
►11_ 14 - fnavmn. I itL �
CONSTRUCTION. INFORMATION';
Additional work to be performed under this permit- check all that apply:
vi Mechanical _ Gas Tank _ Gas Piping ✓ Shutters ✓ Windows/Doors
✓ Electric ✓ Plumbing ✓ Sprinklers _ Generator ✓ Roof ✓ Pitch
Total Sq. Ft of Construction: 2) *�`61 5F
Sq. Ft. of First Floor: /
�14 5F
Cost of Construction: $ (OS( 3�
Utilities: ✓ Sewer _Septic
Building Height:
1 3 l'
lb 3 %N
OWNER/LESSEE:
CONTRACTOR:
Name
!/
Name: Joseph Spalt
Address: a
Company: K. Hovnanian Florida Operations, LLC
City: State: _
Zip Code: Fax:
Phone No. S 4o
Address: 3601 Quantum Blvd
City: Boynton Beach State: FL
Zip Code: 33426 Fax:
Phone No 561-364-3316
E-Mail: ✓h i S �aYS� i /JP ln, r G�
Fill in fee simple Title Holder on nlxl page (if different
from the Owner listed above)
E-Mail Firth@khov.c m:
State or County Licen a Florida ; ` Zaoqq
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
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 antl 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 MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEI O OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR,N61C OMMENCEMENT."
i
Signature o caner/ ontractor as Agent for Owner
S natur f Contractor/License Holder
STATE OF FLORIDA
STATE F FLORIDA
COUNTY OF Palm Beach
COUNTY OF Palm Beach
The forgoing instrument was acknowledge efore me
The forgoing instrument was acknowledged before me
this( dayof /I Lam_ 20=by
thislk-dayof A100 20g by
)6,LN /i &Y fah
Joseph Spait
Name of person making statem
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identifi lion
Type of Identification
Produced
Produced
w.; •... SARI NEVILLE
Notary Pub'
`�� •- mission 4 GG 0S On a
`•?�." a s.' M 7945
(Signature of '-§tAtk4� dA t,yAs,e.
(Signal of NotaryPublic- Stateo Fy �No�o m°°Qa;a ti,liaiie
Commission No. (Seal)
My Comm. Expires Sep 29, 202
Commission Ni Se*nme9heanoeaiScaryAs:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19