HomeMy WebLinkAboutPROJECT INFORMATIONSPECIAL NOTICE
(PLEASE READ BEFORE SIGNING ACKNOWLEDGMENTS BELOW)
Submission of this application does not constitute the granting of approval. All appropriate requirements must
be met prior to this project being presented for approval to the appropriate authority. St. Lucie County reserves
the right to request additional information to ensure a complete review of this project.
ACKNOWLEDGMENTS
Applicant Information (Property Developer): Agent Information:
Business Name: K. Hovnanian Homes Business Name:
Name: Kevin Borkenhagen Name:
Address: 3601 Quantam Blvd. Address:
Boynton Beach FL. 33426
(Please use an address that can accept overnight (Please use an address that can accept overnight
packages) packages)
Phone: 561-364-3309 Phone:
Fax: Fax:
Email: kborkenhagen(cDkhov.com Email:
Please note: both applicant and agent will receive all official correspondence on this project.
Property Owner Information
This application and any application supplement will not be considered complete without the notarized
signature of all Property owners of record, which shall serve as an acknowledgment of the submittal of this
application for approval. The property owner's signature below shall also serve as authorization for the above
applicant or agent to act on behalf of said property owner.
Pmperry _qwnunrSignature - 7N J� Name(Printed)
Mailing Address: 01 Quantam Blvd. Phone: 561-364-3309
Boynton Beach, FL. 33426 If more than one owner, please submit additional
y pages
STATEOF ,COUNTYOF TOJIM 904L &
The foregoing instrument was acknowledged before me this day ofY11; 201 1
by DY✓ A 1 ! aM— A' , Qfl who is peor who has produced
�'� rsonally known tome as identification.
Signature or Notary Type or Print Name at Notary
raCn �6�� Commission Number (Seal)
•e,, LEMMA ELIZABETH PICKARD
Page 5 of 6 t , ,`9-, Notary Public- Stated Florida
Revised March 15, 2016 i•. ComMssknr GG067731
t 'e art MyComm.ExphesJan 30,2021
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