HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/06/2021 Permit Number: 2104-1002
C 0 =:10
Building Permit Application
Planning and Development Services
Building and Code Regulation.Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Roof recover
PROPSEDIMPR01/EMENT�L®CATIQN � �RX,; f
Address: 155 SE Solaz Ave., PSL 34983
Property Tax ID#: 3419-540-0255-000-6 Lot No.
Site-Plan Name: River Park-Unit 5 Block No. 32
Project Name:
DETYAILED D3ESCRIPTION pOFWORK° 1A_" _ pi
t
Install ArmorLay 25 (ASTM D4869/ASTM D226) synthetic underlayment with capped nails over exi:
Screw standing-seam roofing clips to roof-with#10, 1.5-inch pancake screws according to manufacturer instructions.
Attach standing-seam metal panels to roofing clips according to manufacturer instructions.
New Electrical Meter Second Electrical Meter
CONSTRUCTIyONINFQRMATION _ -- .
Additional work to be performed under this permit—check all that apply:
`Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond.
_Electric _Plumbing _Sprinklers _Generator __X_}Roof 2:12 Pitch
Total Sq. Ft of Construction: NIA Sq. Ft. of First Floor:
Cost of Construction;$ 5,000.00 Utilities: Sewer _Septic Building Height: 11'
QWNER/LESSEE YLLr CONTRACTOR„'i _
Name Michael J.Kaiser Name:Owner/builder
Address:1065 SE Dolphin Dr Company:
City: Stuart State:_ Address:
Zip Code: 34996 Fax:NIA City: State:
Phone No.772-26170713 Zip Code: Fax:
E-Mail:skoopl 13@yahoo.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL C®NST�tUC�fl®,N IEN LI�W_INF�ORMA�1"ION:
F
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name: Same as above 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 conflict 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or x Online Notarization Physical Presence or Online Notarization
this 2 day of June2021 2020 by this 2 day of June2021 2020 by
Michael Kaiser Michael Kaiser
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification x Personally Known OR Produced Identification x
Type of Identification n Type of Identification
Produced FLDl,.MV#AJW* - ..�i1 Produc d FLD ioe a
.(Signature of N (Signature orNot Public-State of I i?q AUDREYB.HUMPH
Commission No. GG3WB17 AUDREYB.HUMP EY
�'' °= MYCOMM1S�t CommissionEXPIRES:March 6,2023 _ MISSION#G 7
._•''e;; ce ed Thru Notary Pubic Undemiffiers EXPIRES:March 6,2023
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REVIEWS FRONT ZONING SUPERVISOR PLANS ION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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