HomeMy WebLinkAboutWS 14 - Bldg Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: 5114 Aylvinink flic'e/
Property Tax ID#: 13111.0017 15.8 0001 LotNo.Iq__
Site Plan Name: WATERSTONE - PHASE ONE Block No. 3
Project Name: ASPIRE AT WATERSTONE
DETAILED DESCRIPTION OF WORK:
NEW CONSTRUCTION PER PLANS
SINGLE FAMILY
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical _Gas Tank _Gas Piping _I/Shutters ✓Windows/Doors
✓Electric ,Plumbing /Sprinklers _Generator V Roof Pitch
Total Sq. Ft of Construction: ? C707-- Sq. Ft. of First Floor; ! 2i /4 q
Cost of Construction: $ 1 OU j gS`E Utilities: Z Sewer _Septic Building Height:. %ck
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 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:
Name:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
COUNTY OF PALM Bmcii
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 Count
yy makes no representation that is granting a permit will auTorizethe permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, by i ws or and covenants that may restrict of 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 COMMENCEMEN MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO BTAIN FINANCING, CONSULT
wwu vrn in r cmncra nn Am ArrnnNFY wFFOn E RF[ORDING YOUR NOTICE OFCOMMENCEMENT."
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Signature o 'ontractor/License Holder
Signature of Own Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE O FLORIDA
COUNTY OF PALM Bmcii
COUNTY OF PALM BPACH
The for Ing Instrument was acknowledged before me
The forgoing instruin of was acknowledged before me
this a day of 20_'2d? by
thisday of 20,0 by
_,
KEVIN 60RKENHAGEN
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
+°• ¢T: Nota Public-
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No. ccsns ryBonded
Commission No. ^•••••••^Commission o�p , Expires Sep 29, 2
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