HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and DevelopmentServlces
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578 Commercial Residential X
PERMII I I rL: RESIDENTIAL BUILDING (SFR UP TO 2 FLOORS)
PROPOSED IMPROVEMENT LOCATION:
Address: 5113 Armina Place, Fort Pierce - Lot 32
Property Tax ID N: 1311-700-0176-000-1 Lot No. 32
Site Plan Name: WATERSTONE - PHASE ONE Block No. 3
Project Name: ASPIRE AT WATERSTONE
DETAILEb DESCRIPTION OF WORK:
NEW CONSTRUCTION PER PLANS
FIINI7�ynlIIS �T��IIt]�R�
Eden — 4 Bedrooms, 2 Baths, 2 Car Garage -Total A/C 1616 —Total UR 2118
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
1.1viechanical _Gas Tank _Gas Piping ✓Shutters ✓Windows/Doors
✓Electric k/Plumbing [Sprinklers _Generator V Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ _ 1
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. 561-364-3316
Address:3601 QUANTUM BLVD
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax:
Phone No 561-364-33%
E-Mail: KWIRTH@KHOV.COM
Fill in fee simple Title Holder,on next page (If different
from the Owner listed above)
E-Mall KWIRTHQKHOV.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:
Address:
City:
Zip: Phone
State: _
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
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.
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 conf lict 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 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 OFAO NCEMENT."
Signature of Ov e� r/ Lemma a/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instr t as acknowledged before me
this of ��,
KEVIN BORKENHAGEN
Name of person making statement.
STATE OF FLORIDA
COUNTY OF PALh1 BEACH
The fo oing instr—y�i s acknowledged before me
this,day of �� 217� by
JOSEPH SPALT
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
(Signat[re of Notary Public-Stat rltler �a� (Sig�ure of Notary Pub
"�r� Ha„rweuc•swi�amai
Commission No. eal[omminlmscB9veTt --iii,,ommission No. GGensTt
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