HomeMy WebLinkAboutChange of Contractor PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
® RECEIVE®
2300 VIRGINIA AVE
• o
- -- -- FORT PIERCE, FL 34982 DEC 0 7 2018
(772) 462-1553 FAX 462-1578
ST. Lucie Coeril_ys Permitt:lrlo
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF 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 qualifier of record. There is no fee for
cancellation of the permit.
Date: ie Permit Number: L
Site Address• '< Ab4&. i D-#968
15' r 2 ,t)t4 5V5 C-'MS196 State License RC 0.5909) SLC License
Original GC,subcontractor or owner/b 'lder
Pl_��W, D ey81 b D M C Xt 6 r6j)DJA(A, State License SLC License
New GC,subcontractor
Reason for Cancellationb b ds is e ci
The undersigned does hereby agree to indemnify and hold harmless St Lucie County,its officers,agents and employees from all
costs,fees or damages arising from any and all claims of action for any reason,'which may arise as a result of this change of
contractor/subcontractor or cancellation of permit.A-permit-77n=
- been performed.
LL"
SIGNATURE OF O (or owner/builder SIG A NERAL CONTRACTOR V new GC,as applicable)
PRINT NAME i tl L[�� PRINT NAME
State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
The following instrument was acknowledged before o�Ine this The following m ment was acknowledg f re me this
l day of 1 04. 20 by Y �1 15day of C4by�
who is personally known tome ersonall known to
or io ha prod s e or wh has prod as
e of Notary Signature f Notary e
_otYPue:_ HANDLER
•,��pYCve:, $ N ACHANDLER
Notary Public State of Florida
_�• ;?; �: Notary Public-State of Florida
P€ Commission N GG 239158 €� 0`5 Commission k GG 239158
Revised 09/15/16 '�'}avQ•' My comm.Expires Aug 3,2022 +� oa;:
Bonded through National Notary Assn. of My Comm.Expires Aug 3,2022
��������Bonded through National Notary Assn.
ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
r hh
Date: �a. Permit Numbgr:
• RECEIVED
Building Permit Application
Planning and Development,5ervices DEC o 7 20118
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Laeie Coant Permittin
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED 1NIP, O\/,EIUIENT'L•OCATJC1N
Address: 3061 NW Radcliffe Way, Palm City, FL 34990
Legal Description: Riverbend (PB 67-36) Lot 39 (Or 3955-221)
Property Tax ID#: 4425-703-0044-000-5 Lot No. 39
Site Plan Name: Block No.
Project Name: Clark Residence
Setbacks Front 152' Back: 211 Right Side: 0 Left Side: 0
DETAILED DESCRIPTION O)=WORK
4'High Aluminum Yard Fence-
177' Linear Feet w/1-4'Wide Gate.
CONSTRtJCTIQN�1NFORMA "jON h
�` u-V
Additional work to be performe under tispermit–check all appy:
❑HVAC L_ J Gas Tank Gas Piping` ' _ Windows/Doors
— ❑ P g Shutters ❑
Electric 0 Plumbing --'[]Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: 177' L.F. S Ft. of First Floor:
Cost of Construction:$ 4,394.00 Utilities: _Sewer Septic. Building Height: 4
_77—AT 77
OUIINERLESSEE '� CONT`,RACTOR$ ;'
e
F r, ,
Name +.Clark Brian`J& Robin `Name: Jason D. Prince •N
Address: `3061'NVV RadcliffelNay, `' Company.:•:PRINCE-DEVELOPMENT GROUP, INC.
CitY _ nFL'"":: dtlsidl Way,
SttAdd
Zip Code: 34990 Fax: N/A City: West Palm Beach, State: FL
Phone No. N/A Zip Code: 33404 Fax: (561) 855-4821
E-Mail: N/A Phone No. (561) 840-3300
Fill in fee simple Title Holder on next page(if different E-Mail: princedevgroup@gmail.com
from the Owner listed above) State or County License: CBC-1256464
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTICIN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Nbt 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: 3608 E.Industrial Way, 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 thepermit 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 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 our Notice of Commencement.
SignataofOwn�r/Lessee/Contractor as Agent for Owner =TL
ntractor/License Holder
STATE OF FLORIDA ORI 2�,
COUNTY OF C,�n COUNTY OF •COCLL
The for-going instru nt was acknowledge efore me The for ing instrumenrt was acknowledged efore me
this�day of 20�l6by this__--Iay of 1\1 04• 20 1 y
:5-(mm
Name of person making statement Name of person aking statement
Personally Known_1 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Prod d
JL
(Sig,natur of Notary Public-Stat Qoi ) SAMANTHA HANDLE (Si ature f Notary Public-Sta oIrl' rda) SAMANTHA CHANDLER
°r; Notary Public State of F rida i• �= Notary Public-state of Flo 'd
`= I1 commission N GG 239158 o€ mission 11 GG 23915
Commission No. ''dot ;. aMy Comm.Expires ,2t fission No. ®� (S
p Augg ''2 aF�,�:' My C6mm.Expires Aug 3,2102:
"' Bonded through National Nota Assn. Bonded through National Notary Ass
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE * 4499899 OR BOOK 4201 PAGE 1436, Recorded 11/08/2018 03:41 :14 PM
NOTICE OF COMMENCEMENT
Permit No. Tax Foltio No. 4425-703-0044-000-S
State of Florida County of St.Lucie
The undersigned hereby gives notice that improvement Will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information Is provided In this Notice of Commencement.
Legal Description of Property:(and street address If available):
3051 NW Radcliffe Way,Palm City,FL 34990-Riverband(PB 67-36)Lot 39(Or 3955-221)
General description of improvement: Aluminum Yard Fence
"C
Owner information or Lessee Information if the Lessee contracted for the Improvement-.
NameI,—
Clark,Brian J&Robin i y s—
Address 3601 NW Radcliffe Way.Palm Citv.FL 34990 U-
cz
Interest in property: Ownerls Q t d
Name and address of fee simple titleholder(if different from Owner listed above):
C=
el C.*A
Contractor's Name: PRINCE DEVELOPMENT GROUP,INC. scp'- UJ
---- 1Z=
Contractor Address: 3608 E.Industria)Way,West Palm Beach,FL 33404 Phone Number: 1561)Q40-33Dcc c.D LU C)
CC Lu CL=
-0,
CD
Surety(if applicable,a copy of the payment bond Is attached):Amount of bond: U-W
C)4L3 CC
Name and address- Phone number ,amu co LU
Lender Name: Phone Number: COD ren p :21
Lender's address: 99 t
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes-,
Name.,
Phone Number:
Address:
In addition to himself or herself,Owner designates N/A of to receive a copy of the
Lienor's Notice as provided In Section 211,13(1)(b),Florida Statutes.
Phone number of person or entity designated by owner: i.
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor,but will be I year from the date of recording unless a different date Is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTIC6 OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 108 SITE BEFORE THE FIRST
INSPECTION.IF YOU INTENDTO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under pen4ity of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated-therein are true to the best of
my knowledge and belief.-e Z'
-Akldold -
(Si
Snatureof wiv or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
14141d D v4yve
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this art of—
s, as
Person as. CL4r'J-� -for DLQO�eX
ameofp r Type of authority(e.g.officer,trustee) Party on behalf of whbm instrument was executed
of Personally known or produced Identification
;(Sign tui;r�eof Notary Pu ic- ate of Florida)
T or Stamp Co am
Type,or Stamp Commissioned Name of N e of Identification produced
'f?Q�'Z CHANDLER
Florida
02
-OrF]2
Lary Public-State of Florida
Commission#GG 239 158
Aug . ' 2
I Notary Y
'�oaf f
MY Comm,Expires Aug 3.2022
Bonded through NatI01141 Not3ry Assn.
±F SUBJECT TO EASEMENTS, RESTRICTIONS, RESERVATIONS, COVENANTS, AND RIGHTS-OF-WAY OF
RECORD.
4:' ;11 h.IMitmitluYr�
lcarA C enGe -
L vie v- e
vo
R
`' .
�., �• POOL FO M80 I SURWYTOP FOPA1
C\l �' �`�,, QEY.•itil9S 111 � .
C 136.6, P o 'car.
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7.5'
� �y'';•_ - � ��' , _+.... -_ �� \11.5' w t k.L' 13
TOP�CF FORM k.'�,o, a
14
3Z 9r
1430 650 SF TRENCH REQUIR
PROPOSED 4 RO
OF 14 QUICK4 STANDA
15; r` ' EXISTING + �. INFILTRATOR CHAMBE
Ii ►
GROUND . + 0 12 SF PER CHAMB
, ; 975 SF UNOBSTRUCT
PRESERVE CONTOUR
AREA REQUIR
AREATV
.. .._...._ .u..- _.. w. .. . ._,. ...`: ..< -. y, 1,160 SF PRONTO
`414g77N89457T49"E(N.R.)
t
` a,�� �► LOT 38
STANDARD FENCE SECTION STANDARD YARD GATE
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4' 1 oil 111111111U111110 I
•SS m++ S oa
^�3�2"J d �. E " THRUBOLT `~4N u v
"• elevation E N ..v
CORE DRILL oncrete
encasement
Use 8000 psi CONCRETE UP TO 60' WIDE
grout 8' REMOVEABLE FENCE SECTION 2.25' 5' MAX
IN 2.25 SO X .095 SLEEVE
GROUND '
SHOE MOUNT DETAIL WALL MOUNT DETAIL POOL FENCE SECTION POOL GATE
1
qn
P
SIDED POST -- i�WALL HMW z a -.
?U -SNAP t z
TOP CAP Q 0 p J
a Nv
1 I TDP CFP SLIDES p p J X
A�11' IxTO VaLL MQPIi U Q S Y
3Y,' S t4 TEkS `ai i \ m 4' t
g N
yS CE IGMHY ADJUST pEl�TTDryDES DP POST iaPPInGO SELF IYI.�TAYyP�mxs .-.V Cu
ASLAB/iDp-TE TO gpPHDXu
y NECESSI.yHT�.AIST.jiDE ACRE MIN. UMI iNETRA[aNCR�ETE — 0)
TO E%PANS[ON WITN PDDR ED M SPACING _ w PENETRATE BOLTS Yio 0CONCETE A HIy j�H DP 1 ZINTO.ALLtlacs jy Lj WIDE
1/2• Hmwr CONCRETE � ALL GATES INCLUDE:NOTE: Aluminum parta shall be welded with an TYPICAL GST Crt—as— ed aroing CHANNEL sENMN VALL 2EACHSELF-CLOSING HINGES
pwroceas.No xetdin¢process that requlrea a 5' MAX Q 1 GATE LATCH
welding
Rgw'h We requfieme¢tar o[flee atandnrd cnsT SHOE HOuxT ALL GATES FORAPOOL MUSTHAI?tLA71CN MOUNTED54'FROMTHE
H., 2014) be wed.ALL welding of BOTTOM OF THE GATE.
performed certified d welder,shell be ON4FTHIGHPOOLGATES,USEMAGNALATCHOR APPROVEDCHILD
e b
SAFETYLOCIL
ALL FASTENERSARE#IOXY."CERAMIC COATED(NON-CORROSIVE)SCREWS.
I.EXTRUSIONS SHALL USEALLOY6061-T6OR 6005-T5
2.THE CONTRACTOR SHALL INSULATE DISSIMILAR METALS TO PREVENT
ASSEMBLY METAL .FNCHEGELECTROLYSIS.
3.FENCE HEIGHTFOR POOL SHALL BE 48"MINIMUM.
4.F0077NG CONCRETE COMPRESSIVE STRENGTH SHALL BE MIN 2,500 PSI
Tap Cap and � ��_ H625' IN 28 DAYS.
Snap Plate 468' 5.THIS DESIGN MEETS OR EXCEEDS ALL APPLICABLE REQUIREMENTS
1'21
0.038 045 OF20I7FLORIDABDING CODE 6W EDITION)RESIDBN7•m 107.21
066' UIL
- .75X.75X.038 1.625X1X.045 ALUMINUMFENCING
44'pickets screwPICKET BOTTOM CHANNEL
fastened to snap 2.468X1.219X.051 2X2X.066
plate and button TOP CAI 3 SIDEDPOST I PRINCE
channel, snap ,
plate screw
0.036
fastened to .-, DEVELOPMENT GflOIIP
2'post and post J .065' 3:08 E INDUSIAIAL WAY
snap, all w/OIOXIYt Snap pints snaps •050' 016' �����11111795' MVIERA BEAMILL 33404
P P;881-840-3300
hex-head Into 3 sided past 1x1x.036 Fl.581-855-4021
sheet metal screw s'Post and Snap 1.795X.065
screw fastened 2.016X.050 PICKET
to Bottom Channel TOP CAP POST SNAP PLATE CIa Ill#18309
w/010%IVz hex-head SNAP PLATE 3061 NW RaAd4T&Way,
sheet metal screw ioalvw City,FL 34990
Lot39/1ZLv bemdr
St,Luci[&Cau+lty,FL
FENCE 1/5/2018 .