HomeMy WebLinkAboutWS 30 - Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
�. •J, s_
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
Permit Number:
B
uilding Permit Application
Commercial Residential X
PERMITTVPE: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS)
PROPOSED IMPROVEMENT. LOCATION:
Address: 5105 Armina Place, Fort Pierce - Lot 30
Property Tax ID #: 1311-700-0174-000-7
Site Plan Name: WATERSTONE - PHASE ONE
Project Name: ASPIRE AT WATERSTONE
DETAILED DESCRIPTION OF WORK:
NEW CONSTRUCTION PER PLANS
SINGLE FAMILY RESIDENCE (SFR)
Eden - Elevation B - Garage Left - 4 Beds - 2 baths - Total A/C 1616 - Total UR 2118
CONSTRUCTION INFORMATION:
Lot No. 30
Block No. 3
Additional work to be performed underthis permit —check all that apply:
.Mechanical _Gas Tank _Gas Piping ✓Shutters ✓Windows/Doors
✓Electric ZPlumbing (Sprinklers _Generator V Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 128p6 ni (j bM
Sq. Ft. of First Floor:
Utilities: 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. 661-364-3316
Address: 3601 QUANTUM BLVD
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax:
Phone No 661-364-3316
E-Mall: KWIRTH@I(HOV.COM
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
E-Mall I(WIRTH@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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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.
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Lucie Count Y makes no representation that Is granting a permit will authorize the ermit holder to build the subject structure
which Is In conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT UST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 0 IN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF O NCEMENT.149�
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Signature of O ey /Contractor as Agent for Owner
Signature of n ra r License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PAtniaFAcN
COUNTY OF PAwBPAcH
The forgoingday Iof mmgpt s acknowledged J%by me
this day of _YA.�` , 20d�1 by
The Bing Instrymegt s acknowledggd before me
this l day of 20j2A 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
Produced
Type of Identification
Produced
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