The URL can be used to link to this page

Home My WebLink AboutChange of Contractor RECEI tl_F7D APR �. 0 ?017 PLANNING&DEVELOPMENT SERVICES BUILDING& ZONING DIVISION .2300 VIRGINIA.AVE FORT PIERCE,FL 34982 (772)462-1553 FAX 462-1578 CHANGE OF CONTRACTOR,SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECTONEOF THE FOLLOWING: \/ CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized by the property owner, and the new contractor of record for the current permit. A new permit,application must also be completed with new contractor information And signature- A new Notice of Commencement must be filed in the new contractor's name for job values greater than $2,500 ($7,500 if A/C Change-out). A recorded copy must be submitted prior to, commencing any work.There is a$50.00 fee for the Change of Contractor. CHANGE OF SUBCONTRACTOR' —Subcontractor changes are to be completed by the general contractor. The new subcontractor must fill out a Subcontractor Agreement Form.There is a$50-00 fee for the Change of Sub- 'Contractor. CANCELLATION OF PERMIT—The cancellation of a permit is acceptable only if no work has been done. Cancellation of permit is to;be signed and notarized by both the owner and qualifief of record. There is no fee for cancellation of the permit. 31C 1('11�I� Date: Permit Number: Site Address: 5010 SANIBEL AVE,APT B PAUL ZAKHARY State LicenseCBC1255393 SLC License Original GC,subcontractor or ownerlbuilder MICHAEL CONRAN State License CBC1 261632 SLC License New GC,subcontractor Reason for Cancellation The undersigned does hereby agree to indemnify and hold harmless St Lucie County,its officers,agents and employees from all fees or damages arising from any'and all claims of action for any reason,which y arise as a result of this change of psn 0 ctor,subcontractoor cilatio of pc A permit cannot bees H ifv kh been performed. 70 OldWTUr OF OWRRiQ'0i7o;:m_ir/Wlo, SIGNATURLGENERAL60 CTOR(or new GC,as applicable) PRINT &N E 11 Al PRINT NAME kAn, Go cc") State of Florida,County ofsl_� State of Florida,County of St.Lucie County The following instrument was acknowledged before me this The following instrument-was acknowledged before me this 20_11,by _.t –4,0_day of A 20AI_by 0. o is personally known to me C,01%r Ck It% who is personally known to r he has P ucej.�!�IFTOJI LL�-_- as 11). me or who has produced as 11). .hasr-do, _24112JI-I ature of Notary Signature of Date TRACI)k RICE DEANNA e SWI.—1X61 MARIE GIVENS 022023 ate of Florida Notary Public- Rev' MY COMMISSION#GC 022023 Revised 04/1511 EXPIRES.December 16,2020 My Comm.Expires Nov 20,2017 'd Wtem. Bonded Thru Notary Publfc underw6tem Commission#FF 072215 REGEI1.";0 APR 0 2317 ALL APPLICABLE llVFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Date: Permit Number: , Y �" �S IS MIN- - wilding 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.APPLICATION FOR: Window/door FRaPOSED {NiFROVENi;ENT L(JCATION "s ,E Address:5010'SANIBEL AVE,APT B Legal Description: LAKEWOOD PARK UNIT 12-A-:BLK 175 LOT 5 Property Tax ID#. 1301.-615-0158-000-7 Lot No.5 Site Plan Name: Block No. 175 Project Name: CSG INVESTMENTS Setbacks Front Back: Right Side: Left.Side: Q'ETA►ILED DESCRIPTIONA`OF WORK { �4 . REPLACE (3) EXTERIOR DOORS CONSI`RUCTIO,N INFC}RIViATIaN t Additional work to be performed under tis permit—cne�ck all tha apply: HVAC 1_J Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric F�Plumbing Sprinklers Generator F Roof Roof pitch- Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 1100.00 Utilities:R Sewer F Septic Building Height: OWNER/LESSEE CONTRACTOR h NameJOC PROPERTIES INC Name: MICHAELGONRAN Address:1001 S.E°MONTEREY RD Company: CONTRACTOR SERVICES OF SOUTH FLORIDA LLC City:STUARTState:FL . Address: -1001 S.E MONTEREY RD' Zip Code: 34994 Fax: City: STUART State:FL Phone N0.7727085763 Zip Code: 34994 Fax: E-Mail:JUDYCONRAN@GMAIL.COM Phone No.7723613227 Fill in fee simple Title Holder on next page(if different E-Mail: SF(jONTRACTOR@YAHOO.COM from the Owner listed above) State or County License: CBC1261632 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPCEMENTAL.CONSTRUCTION LIEN LAVV, 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: 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 1 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 Commencement must be recorded 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,your Notice of Commencement. s SIgnatUFe of O n /Lessee/Contractor as Agent for Owner Signature f Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 6 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 n—by this'240 day of qT t1 20 _%J_by Y'ti c•fir. a G e h h W��c a,1 Seen a►YN (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota Public-State of Florida) (Signature of.Notary Pu iic-State of Florida) Personally Known OR Produced Identification Personally Kn OR Produced Identification Type of Identif c Type of Identi acp: r ••'Yo" NAMARIEGNENS =:+°•' °- MARIEGR/Etvh Commission �,'a"'�� aMiIssiot�t j 22023 Commission =S �lsstoN J% cam * EXPIRES:December 16,2020 �, P, :December 16,2020 ,: %ae '•E `" $onded Thru Nota f h�P•'•'4 Q`•" Bonded Thru Notary Public Underwriters ry Pubite Undorwritvra '. n Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS