HomeMy WebLinkAboutBuilding Permit ApplicationAll 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
PERMIT TYPE: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS) l
PROPOSED IMPROVEMENT LOCATION:
Address: 5114 Armina Place, Fort Pierce - Lot 28
Property Tax ID q: 1311-700-0172-000-3
Site Plan Name: WATERSTONE - PHASE ONE
Project Name: ASPIRE AT WATERSTONE
DETAILED DESCRIPTION OF WORK:
NEW CONSTRUCTION PER PLANS
Lot No. 28
Block No. 3
SINGLE FAMILY
RESIDENCE (SFR)
Eden - Elevation B - Garage Left - 1616
A/C - 2118 Total -
4 Beds, 3 Baths, 2 Car
Garage
CONSTRUCTION INFORMATION:
Additlonalworktobeperformed under thispermlt—check all that apply:
[Mechanical _ Gas Tank _ Gas Piping ✓Shutters ✓ Windows/Doors
✓Electric ZPlumbing Sprinklers _Generator i/,Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 110,888
Sq. Ft. of First Floor:
Utilities: y Sewer _Septic Building Height:
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-Mall: 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: — Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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.
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 ppermit will authorize the ermit holder to build the subject structure
which is In conflict with any applicable Home Owners Assocation rules, bylaws or anScovenants 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 COMMENCEMENUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TOO IN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF/t0 NCEMENT."
Signature of Oe/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF PALM 9FAcH
Signature
of
STATE OF FLORIDA
COUNTY OF PALM 9EACN
The f going instrument yes arl before me The forgoing instr�n was acknowledged before me
this day of? d d� 20 by this l� day of 20� by
KEVIN BORKENHAGEN
Name of person making statement.
Personally Known X
Type of Identification
Commission No. ccat7s7t
OR Produced Identification
JOSEPH 3PALT
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Notary Public -
NO. G0917871
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