HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Per Number: Ia 12- — DOgNo
CMG iW'
BuildMg Permit Applicat on JOIN c) 20
Planning and Development Services' -
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 J t • 8_:,° Cie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi n—tiaN(
PERMIT TYPE: New construction - Single Family Residence
PROPQSED IMPROVEMENT LOCATION
Address: Ay i,t NA- Qim(,
Property Tax ID #: l?j l 1 — '-(00 — D'bOZ — p001, i Lot No.79
Site Plan Name: WATERSTONE - PHASE 1 Block No. 3
Project Name: WATERSTONE
DETAILED' DESCRIPTIONWQF WORK: _
New construction - SFR -Spec
CONSTRUCTION .IN FORMATION:
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 Stl2 Pitch
Total Sq. Ft of Construction: 2-002 Sq. Ft. of First Floor: 19 bpi
I
Cost of Construction: $ Sq is q Utilities: X Sewer _Septic Building Height: 16� .5 74
OWNER/L•ESSEE
-._ .
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.
i
NEER: Not
MORTGAGE COMPANY: _ Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 HST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION- IF YO INTE TO TAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR IC F MMENCEMENT:"
Signature of Owner essee/Con
or as Agent for Owner
Signature(Of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beach
COUNTY OF Palm Beach
The forgoing instrum t was acknowledged before me
The fo oing instrument was acknowledged before me
this �day of
20�by
this, dayof QIL%V% .20a0by
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
�lGGtilifnt
(Signature of Notary Public -State o
gg aN�x
t`
ignature Notary Public- State of
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. ° ..
Commission No. 9L -1
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
' DEC 0 5 2019
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED! IMPROVEMENT LOCATION:
Address: 57-7,5 AyMim Q1aL6 1 Ft. Pierce, Florida, 34951
Property Tax ID #: 0111 - =' 0202— b90 3 Lot No. 58
Site Plan Name: Waterstone - Phase 1 Block No. 3
Project Name: Waterstone
DETAILEDDESCRIPTION OF WORK:
New construction, single -family -residence per plans
r,.
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank _ Gas Piping ✓Shutters
(Electric Plumbing ✓prinklers _Generator
✓ Windows/Doors
✓Roof ✓ Pitch
Total Sq. Ft of Construction: A 001- 6F
Sq. Ft. of First Floor:
It Oq 5F
Cost of Construction: $ ft 3og1
Utilities: VI/Sewer _Septic
Building Height: (e,
3 "
ON
OWNERAESSEE:
CONTRACTOR'.
Name
K 4711
Name: Joseph Spalt
Address: 3GO e ✓ W,
Company: K. Hovnanian Florida Operations, LLC
City: State: _
Zip Code: ��iC/a So Fax:
Phone No. U
Address: 3601 Quantum Blvd
City: Boynton Beach State: FL
Zip Code: 33426 Fax:
Phone No 561-364-3316
E-Mail: R.( (%
Fill in fee simple,Title Holder on next iVaAe ( if different -
from the Owner listed above)
E-Mail kwirth@khov.com
State or County License Florida jo l&-C
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. /./(/f yJ
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. l 1r 0%
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 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 TQ OBTAIN FINANCING, CONSULT
WITH YOUR LENDER nRAU ATTORNEY BEFORE RECORDING YOU14 EIbT199 0f COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur 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 2_Lday of)aVn ,2o�by
The forgoing instrument was acknowledged before me
this /�day of �7./'ll/• ,2ojyby
{�J /JA `n Y k� H
Joseph Spalt
Name of person making statement.
Name of person making sta ent.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identificatio
entification
Pro uced
Produced
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Commission o. (Seal)
(Signature of Notary Public- Sta
Commission No. Tim I
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.