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Home My WebLink AboutChange of contractor, new application, new noc i I PLANNING&DEVELOPMENT SERVICES J I BUILDING&ZONING DIVISION • 2300 VIRGINIA AVE FORT PIERCE,FL 34982 (772)462-1553 FAX 462-1578 CHANGE OF CONTI2AGTOR,SUBCONTRACTOR OR CANCELLATION OF PERMT I PLEA§A§Bja ONE OF THE FOLLOWING: VIIII CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized by the property owner, and the new oontrdctor of record for the current permit.A.new permit'application must•also be completed with jnew 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 550.00 fee for the Change of Contractor. CHANGE OF SUBCONTRACTOR—Subcontractor changes are to be completed by the general mor. The new subcontractor must fill out a Subcontractor Agreement Forma 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. ;L Permit Number: L 7 Site Address- 4 rl try 5 State License SLC License Original GC,subco ctor or owner/builder t,, I earf1Q C�t1f o- Stue Licensee OIQIO�Y SL-C 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 costs,fees or damages arising from any and all claims of aeon for any a,which may arise as a result ofthis change of contractor/subcontractor or cancellation ofperm&A permit cannot b cancel d if work been perfornmed. " S11GRA7111RE OF OWNER(or owner/6uilder) 1 SIGNAMM GENERAL C R(or new GSC,as appliwk 4 PRINT NAME .S , 1'p Q�-+ r rr4+r 1'R1I�TNAME' T"C Stele of Flarida,Courtly of St Lucie County State of Florida,Cwnry of S[Lode County The fbllowing m* eat uss adcawMedged before me this a awurg' ent was admowledged before m this ri—day of e .20�by f`. �Y of 4 �70�b5'.�4n� Ste�dre j'L 1!! , who is penwmUy ltm m m me who is petsankGy lmawa to or who h=pwdttcodIQcas m. me or hes pAA ce ID. SkmI efNeaey u, 101 orNot"Y Date �` ELLEN YAU =S�to of Flor aYota�HN ommlasion a ry Publfe Revined 04/25/ Qd .� APAILViN50N ` M 270079 Y C rntsalon fres ?. NogryPublic-State ofFbrlda October?2, 2022 Commission#GG 143942 =:.7 MYComm.Expires5ep17,2o21 lorded tFMI Nancral?I4su,. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICAMON TO BE ACCEPTED Date: al ►'l" c72�� Permit Number. RECC3veD FEB.0 7 2020 Building Permit Application Permitting Devaran,,, Planning and Development Services � stLucfe �•�- Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce PL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential ` PERMIT TYPE:' L � PROPOSED t P OUEMENT!.O-A-no Address: Evil n Property Tax iD#: ' t0 b �` � � Lot No. 1"i Site Plan Name: Block No. r Project Name:. DETAILED I%9GRIPTlON OF WOR 1 :1b YQY lcai–ries i Phone Zip: Phone: I E SIMPLE TITLE HOLDER-. Not Applicable BONDING COMPANY: Not Applicable � Me: Name: i ddress• Address: City: tP Phone: zip: Phone: WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work-and installation as indicate certify that no work or.lnstallation has commenced prior to the issuance of a permit. t.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure hich is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such it tructure. Please consult with your�Home Owners Association and review your deed for any restrictions which may apply, a n consideration ofthe 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 "WARNIMG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR'PAYING? TWICE FOR IMPROVE14ENTS TO YOUR.PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND� POSTED ON THE,JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT,'l WtTti YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner s nature of Contractor/Licens older STATE OF FLORIDA STATE-OF F1ORID COUNTY OF COUNTY OF. ( ell The forgoing instrurti t was acknowledged before me The forgoing-InstWment was acknowledged before me this!:,day of 20P_ y this-Lz'clay of 20aa by 1 Name of person ma g statement. Name of person making statement. Personally Known OR Produced Identification Personally Known A OR Produced Identification Type of ldentthcation Type of Identification Produced f, r Produced � � �RkVltb H . t Notary%btic-Stat of rida CORritiss- xGG C 2 j t �' � BCrt&�throu ham 1 2Q@} (signature of Notary Public-State of Florida) -(Sig-nature- f Notary Public State of Florida) Commission No-G�2 7_A,�2w, Sion No. Q, (Sara!) 8ta ELLIciV AUGMN mmlvRto i�a6 2 RMEWS , FRONT ZQ slol�i>�a FETATION SEA TUR7CE MANGR6vE`. C;OUNTEft R r REVIEW REVIEW REVIEW C XIT FtEtPATE f`iJ r: a, �."W� r y �t�}� i SUPp - E L CONSTR CTIaN i.IEN I • RM ON: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: - _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: i FEE SIMPLE TITLEHOLDER: ____Not Applicable BONDING COMPANY: Not Applicable Name: - Name- Address: Address: City: City: Zip: Phone: Zip: Phone: i 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 j SL 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 Assoaation rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with you r•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 inaccordance 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 OWARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TRICE FOR IMPROVEMENTS TO YOUR.PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE SORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENC>EMMENT." II signature of Owner/Lessee/Contractor as Agent for owner nature of Contractor/Liters older STATE OF FLORIDAS�� STATE OF COUNTY 0 FLORIDA COUNTY OF The forgoing instrum t was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 o_`&y this day of 120 by yien Name of person making statement. Name of person making statement. Personally Known OR Produced Identificatiori Personally Known OR Produced Identification Type of Identification Type of Identification Produced CJQ,- Produced (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Commission No. fi�42-i-� ion No. (Seal) 0. ELLEN Stets o AUGgH s ommleelo QG 27 7 REVIEWS FRONT ZO tin Un r SJORIKka GETATION SEA TURTLE MANGROVE COUNTER REV rir REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. i Permit No. Tax ID No. 7 NOTICE OF COMMENCEMENT STATE OF 0ovitI0. _ COUNTY OF a1Llf�th 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 the Notice of Commencement. Description of property(legal description of the property and street address if available) 346x-44—ou-M—OC 0. 4-71 M - e Indian �„rcr es-6+es .t-�,,4 K 3q General descri tion of improvement l" L-6+ I CI ,aAwkjra gtAIN �Ucco 4 V-Avw-, Owner's NamF Owner's address /%J 7 1'4. OkV- Owner's interPIMA10 aumyX' Name/address of Fee Simple Title holder(if other than owner) Contractor name and address Vkodiq" Cor*Ay ioirion,IM. 1343 NW 1(9601 I 00et:hobee &L. 3.4'ri1 —Phone#' 1562, Fax#(optional}_ 8;%7&3&0,v0 Surety name and address Phone# / Amount of Bond$ Lender(Name and Address) 1-1.1 o m#z Phone# ,� Fax#(optional) �o,,, _ Q a N Q. Persons within the State of Florida designated by Owner upon whom notices or other documents may be s P S g M 3 ,F as provided by Section 713.13(1)(a)7ida Statutes: O N C= Name and Addressg in o Phone# Fax#(optional} o R In addition to himself,owner designates ;N r -n to/receive a copy of the Lienor's Notice as provit m Section 713.13(1) (b), Florida Statutes. Phone# / of person or entity desig i by owner. o Expiration date of Notice of Commencement (the expiration date Is one year from the date of reco M unless a different date is specified) 1 i Signature of Owner Type or Print Name of Owner T OREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS I DAY OF IrtlafLL 20 410 BYE p 1 �Idiht . WHO IS --� -- PERSONALL KNOWN TO ME OR WHO HAS PRO CED 3FL T]L is _. AS IDENTIFICATION. • APRILVINSON Wary Public-Starepf Florida '�" ssion=GG 43942 *SIGATUR OF O ARY NOTARYSTAMPISEAL My Comm.Expires Sep 17,2021 ' °.`„;`•” ScrdedduoaghNatioral;No[aryAssr.. WARNING TO-OWNER.- ANY OOWNER: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 NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB, SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. CAUsers\Fsye Fiuf[man\DesinaplFORMS for Bldg.DeptlNotice of Commencement Rev June 201 Ldoc