HomeMy WebLinkAboutBuilding Permit Application AICAPPLICABLE.WFO MUST BE'COMPLETED FOR APPLICATIQN TCI BE;ACCEPTED 2
Date' Permit Numben. D 03 -09,V�
Rul,lding P&M,ft,Applieatlon
Plan"Wing::rnd'DeveJo'pmentSewices
t3Od{ng`and Code Regglat�omD yr"sr'on
23QQ Virgins AveY►ue,Fort Plerce;Fl 34982
Phone:.(:772}:462=1553' Fax ( 72}462 15;78" CQnitll t CI:aI Resldentla[
PERty► TTvP RESIDENTIAL BUI;LDIN.G ($FR [JP TO`2 FLOORS
",PROPOSED,IMPROIIEMENT�LOCATI,ON'_ � . ..
Address: 5133 Armina Place
_ Prapeity Tax ID'#': 131 iaoo-01s1-000-s Lot No, . 22
Site:Rlan Nam e::'WATERSTONE PHASE,ONE, BlockNo.,3`,
SPIRE'AT WATERSTONE
Pro�eet A
Name . :._ ..
DETAILED DESCRIPTION CIF WORK
NEW CONSTRUCTION PER,PLANS'
SINGLE FAMILYAESIDENCE(SFR-) .
Lelia ESP,Elev B,Garage Right 4 Bedroom/3 Bath One 2-car garage
CONSTRUCTfrJN INFORMATION
�x
Addhiona(.worktto be:performed, under this'::permlt—check all that apply:
✓Nleehanica(:. . Gas.Tar k _Gas Piping, ✓Shutters ✓WindoWs/Doors
T .
/`Electric- zplumb ng Sprinklers _Generator j,/ Roof .5;12 Pit6h
T.ota[Scl. Ft of Construction:. . 2381 $1. Ft.of First Floor; 1917
Cost of Constructlon.$123,s7a Utilities: ✓Sewer Septic:! Builefing:Height.; 16'3-314^,
OWNER/LESS CONTRA
EECTCiR`
a ,.
Name,KEVIN BQRKENHAGEN; Name;mSEPH SPALT`
3601 QUANTUM�LUD K H. VNAN1AN FLORIDA•-OPERATIONS, LLC,,
Address. ..,. Company
City: BOYNTON,BEACH., State:,FL Address 3601'QUANTUM BLVD
Zip Code 33,426 Fax: City: BOYNT..ON BEACH, State:FL
I
PhoneNo. 5.61'-364-33,16. ' Zip Code 33..426 Fax:
E-Maif: KWIRTH@KHOV.COM- Phone No:661A 664'33.16
F►II iri fee simp[e;Title:Holder on next page(.if different E-Nleil KWIRT 11OV.CQM,
#rom the Owner listed above); State or County License
CBC1263043.
if value ofconstruiefcn is$250U am ore,a_RECORDED"Noticeof'Commeaceirient is required:
if Value of HVAC':is,$7,500;or more;:a RECORDED.Noticed Commencement•is required,
SUPPLEMENTAL.CONSTRUCTIONfEN LAW INFORMATION ,
DESIGNER/ENGINEER: Not,Applicatle It!(ORTGAGE;COIVIP4NYc µ Not Applicable;
:Name:
Address: Address:
..........---
City:< State: Clay: Stater
Zip: Phone: Zip:, Phone:'.
FEE SIMPLE TITLE HOLDER:: _Nat Applicable BON_iNG COMPANY: _Not'ApplicWe
Name: Ndrnik
Address: Address:
City:::.. City:
Zi.p. ..:Phone;. . Zip:' Phone:
OWNER/CONTRACTQR'AFFiD.UIT;-Application ishere by.madeto.obtain.a permit:to do the,work and,installIatlon.as indicated..
(`certify"that'no work installation;:has.commenced'priorto the issuance of a per...mit.
5f.Lucie Count 'makes no repres�ntationthat is granting a permit.will authorize the permit holderto build the*,subject structure
which.is in conllict.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 yeview your deedfor any restrictions which ma.y.apply.
In consideration:of the granting}of this requested pe*rhi4,.,l 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:Gaunty Amendments,
the following.building'permit applications-are exempt from undergoing,a'full concurred y`reviewi room additions,
accessory structures,swimming pools,fences;walls,signs;screen.room.s and,aceessory uses.to another non-residential.use.
"WARNING;TO OWr4ER: YOU(2.FAILURE,'TO RECORD A NOTICE OF,COMMENCEMENT MAY RESULT'IN YOUR PAYING
TWICE FOR:IMPROYEME111TS TO YOUR,PROPERTY: A NOTICE•OF' COi1 MENCEMENT LUST BE, RECORDED-ARID
POSTED ON THE JOB,SITE BEFORE THE FIRST INSPECTIONS IF YOU INTEND TO 0 lRl FINANClNG;,.CONSULf
WITH YOUR LENDER OR AN ATTORNEY:BEFORE RECORDING YOUR NOTICE OF O NCEMENT '_
Signature of'. pier/Le t ee Contractor 6s Agent fo[Owner' Signature gf n re r/Ucense Holder
STATE.OF FLORIDA: .,STATE-,OF F..,LORIDA
COUNTY OF PALMBEACH COUNTY OF-PALMBEACH
The forgoing instrument was acknowledged before rrie: The,forgoing1ristrument was acknowledged-before Me
this 22nd day of` March ;20 21 by 'this 22nd day-Of'- March 2Q 21. by
KEVIN BORKENHAbtk JOSEPH SPALT
Name of persoii•making;stateYnent. Name of person making statement:
Personally Known x OR:Produced..ldentification Personally,Knawn,.X OR Produced ldent'Ificatioq
Type•of Identification: Type of Identification.
Produced Produced
(Slgnatre of Notary Public-Sta# ICEVIttwtlrlt (Sign tune of Notary.Public-Stat Kr viMvAM
tfp grylu k!State dtlottflft Nt>brlrRtbnc-statedFbt6�
Ile Ww#Gfr917671
Commission NO: GG91767.1 ; al #GG417671 ommission:No, GG917671 as �� .FSoSep29,ffiY3
a r�, My amm.6P►resSeP24, T
Banded through Nattanal Notary AmBanded through National Notary Assn.
.�_
REVIEWS FRONT ZONING SUPERVISOR PLANS. VEGETATION SEATURTLE- MANGROVE':
COUNTER REVIEW= REVIEW REVIEW REVIEW: REVIEW REVIEW,
DATE
RECEIVED
DATE
COMPLETED
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