HomeMy WebLinkAboutChange of contractor PI�AN1YIlvG&DEVELOPMENT SERVICES
BUILDING& ZONING DIVISION - -
2JK VIRGINIA AVE
-FORT PIERCE,'FL,34982
(17,2)462-1553 , FAX 462-1578: -
N
!. E-QF CON TRACT-OXSUBQQMACTOR OR CANML_L_A'T10k1 OYgAlWt
SELECT ObE Of THE FOLLOWING,
CHANGE"OF CONTRACTOR—Change of Contractor is to be signed and:notarized by the property owner,
and the new contra"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 cotmactor's= name,
for job values greater than $2,500 ($7,5004f AJC Cts-out). .,A recorded cop} .must, be.: submitted prior #o
commencing any work.There is a.S54.00 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$54.04 fee for the Charge 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 fes for
cancellation of the permit.
Date. o l Permit Number. 104 !t
Site Address: 9,14Q
. rt.11 ?N!o' 'mte�icensZ I3DO-LQ SLC License 3 S
Ortglnat GC,subcontractor or wwner/buikter
� State LicemeE-CPXPC : SLC License k2,—j �NrwG �
oo1 �
Reason for Cancellation
MUNIMMIMMOM M=
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 tory reason,which may arise as a result of this change of i
contractorls or or c anceIIati permit A permit cannot los cancelled if work cuts been per(ormed.
S(GN F OWNER( oamtbnilder) yy SKRTATUR13 G ,�` CONTRACTOR(or new GC,as applicable)
PRINT Pr'A.*SE 1t t LWQ'w�C tiF—�� PRKTNAME �!\_n&A, W SACkO1 1"
State of Florida,County of St Lucie County - Stare of Florida,Cotmty of St Lucie County
11ro followwing irmumem was wknowiedgul before me this lbclbllowiag inmtrcnent was aclmovAWged before me this
r:l—dy -.20= t, day of!NaAt ty&N 20. 4.byt'Ag kS �i 0,a.h-0-
}wi . K'S 6 wino is personally known to me __ i 6MMOrA -hots pe=e lowww n to
via has produt *k'a" ls tLl Q,•"(4!--�j Inc a who hasproduaod as D. _
...
Slgaatare of Matary Date ttmt of Notary tc
Public Stale of Florida
NAY s� Dee PubDa
iciley
Revised 04/15/163 dFbritlr
n
tarDeem��a,on GCC 38515 �ley- +F xCommMi6uiortA 00 3W15
Expir�t06f12t2023 4 EVWft0at1z=
ALL APPLICABLE INFO MUST BE COMPLETED'FOR APPLICATION TO BE ACCEPTED
Date: January 7,2020- Permit Number: 1911-0422.
ISI _
Building Permit ,Application
Planning and Development Services
Building and Code Regulation Division -
2300 VilTginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial.Dial. Residential X
PERMIT APPLICATION FOR: To select from dropbox,click aftow at the end of line
Address: 2608 NEWPORT DRIVE
Legal Description: ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK7 LOT 5(Il AC)(OR 3253-1780;3457-1)
Property Tax ID##: 2421.609-0013-000-2 Lot'No. . 5
Site Plan Name: Block No. 7
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALL GFI IN MASTER BATHROOM. HOT CHECK EXISTING RECEPTACLES.
Bill
Additional work o bg iLerformedunder tnis permit—check all umappty:
HVAC 11 Gas Tank []Gas piping El
Shutters Windows/Doors
Electric 0 U Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 429.00 Utilities:nSewer n Septic Building Height:
Ali �ii
Name CHRISTIAN E.DIRKES Name: CHRISTOPHER W. RICHMOND
Address: 2608 NEWPORT DRIVE Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL i Address: 3086 ENTERPRISE ROAD
Zip Code: 34982 Fax: i City: FORT PIERCE State;FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E-Mail: Phone No. 772-461-1951
Fill In fee simple Title Holder on next page€if different E-Mail: DF-ANA@RICHMONDELECTRICINC.COM
from the Owner listed above) State or County License: ECO001963
if value of construction is$2500 or chore,a RECORDED Notice of Commencement Is required.
"N"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:
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 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.
` � f
_Signature cf own`e`r/�LLe`ssee/Agent Signature of Contr or/License Holder
STATE OF FLORIDA STATE--OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST-LUCIE
The forgoing instr merit was acknowledged before me The forgoing instrument was acknowledged before me
this�_day o _, 201_by this_52 day of 20'2-C>by
HEREMATIE M.BWH CHRISTOPHER NJ.RICHMOND
(Name of person acknowledging) (Name of person acknowledging)
WignCa"ture of Notary Public-State of F ida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 6G 3 + rsaileSLale at Fiaida Commission No, GG 551.
MY C0MnuMiOn GG 32SSI s ' � C�FiotiOi
Pt Q
E OB/t ailey
My CWV4M n GG 328515
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS