HomeMy WebLinkAboutSub-Contractor AgreementIt
PERMIT # I 1 Q dJ (5 1-�' r
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COUN:C;Y�b.~
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ISSUE DATE
PLANNING & DEVELOPMENT SER'
Building & Code Compliance Div!
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIVED
AUG 0 5 2919
ST, wcle coatyt
have agreed to be
Company Naf''c/In ividual Name) r To.-S
the D yL t l co.e C Sub -contractor for 4' 2 S a tip 1.. f, o ttt
(Typ of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of S
0
COUNTY CERTIFICATION NUMBER
State of Florida, County of ?At.K gs AC'A
s.
SUB -CONTRACTOR SIGNATURE (Qualifier)IYE
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this —�— day of The foregoing instrument was signed before me this 02—day of
6C'Co9F-F, _ _.205-,by CIAV-tSYoFHEK. tQKK%K61!6 N vd ,20L!�by rey- rc7f
who is personally known _or has produced a F %- Q �tYE1T. `.10ENS� who is personally known oduced a
as identific tion. as identification.
• STAMP STAMP
Signature of Atary Public Signature of otary b '
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Print Name of Notary Public
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Apfil Ni, 2021
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1110
11101,
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No 7 `Z r DO Z0 — 0 00
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 avail ble
7-43"3- 02- ®0p 7,0 — 000 " 3
General description of Improvement: AJz" —.-.tr-SGtusq;
Owner information or Lessee information if the Lessee contracted for the improu
Name
Address L41 rl k5'
Interest in property: LCI
Wto Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: Cudirt
Contractor Address:
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Phone Number:
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Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number:
Lender Name: Us496��� >'h one Number: V'?,
Lender's address —fir �-4 te' S ` � 6� n� � V�
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)e7., Florid Stat tes• /"
Name: �+�%UVU1� Phone Numb r:
Address: 47C49 GDP 6* L" 5 G�4 e 33401
In addition to himself or herself, Owner designates of
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive, a copy of
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Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final paymenttothe
contractor, but will be 1 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 I, 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 LEND R AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT. `t%J 1 1 11 +'
Under penalty of perjury, I declare t ead the foregoi otice of commencement and that the facts stated ; M.e {•tji,b_e�9lof�
my knowledge and belief. v
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(Signature of 0 or s , or Owner r Lessee's Authorized Officer/Director/Partner/Manager a My Cpl(1m. Expires �;
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(Signatory' itle 0 'ce) �� Q
The foregoing instrument was acknowledged before me this day of OCT 201$, 4
By C'N`11.Ft�ld� ,,Vtwit%S as 1�6°CAQ.� for
Nam�oPyn Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
Personally'known_ or produced Identification ✓
(Signature of Notary Public - State of Florida) �r
tion produced
(Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identifica
i
BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L • R I • A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERNHT
Project Location: 5I 1 ��Y\ �C�QQ, Dater
Permit Number: '®� - ��10 Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes— lsNo N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes —No N N/A
Owner / Builder Affidavit (signed in office)............ ...................................... Yes NoN N/A
Filled Land Affidavit (prior to issuance) ................................................... Yes N No N/A
Recorded Warranty Deed, if applicable ......................................................Yes Nod' N/A
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes—No-4 N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes No N/A
Vegetation Removal Application with copy of survey.....................................Yes No N/A
Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes No N/A
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes —No —N/A 1
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A
ApprovedSite Plans........................................................................... Yes —No w N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/A
Elevations and Setbacks.............................................................. Yes —No —N/A
Plot plan with Setbacks............................................................... Yes No N/A
Health Department approval stamped on survey and floor plan .........................
Yes
No '�0
N/A
Health Department Food Establishment Permit stamped on floor plan ................
Yes
No .
N/A
Manual "J" or Manual "N" Calculations....................................................
Yes"3
No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots)............Yes\,
No
N/A
Sealed Wind Load Compliance Certification ...............................................
Yes —No
—N/A
Product Review Affidavit.....................................................................
Yes —No
—N/A
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/A
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A
Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/A
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes No_ N/A
Other:
Health Department Permit Paperwork....................................................... Yes —No —N/A
CD for Fire Department if commercial or multi -family ................................... Yes —No —N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes —No —N/A
Pool Barrier Affidavit.......................................................................... Yes —No —N/A
Ground Sign Landscape Affidavit (signs) ................................................... Yes No N/A
Burn Rate for Sign Cabinets.................................................................. Yes —No —N/A
RV and Mobile Home Tie -Down QgbL(2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
—No
—N/A
Manufacture Set -Up and Installation Manual ..............................................
Yes
—N/A
—No
Manufacture Blocking Documents..........................................................
Yes
—N/A
—No
Signed Penetrometer Test (1 copy).........................................................
Yes —No
—N/A
StairDetails....................................................................................
Yes —No
—N/A
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes —No
—N/A
Copy of Title for Relocation (used only) ...................................................
Yes —No
—N/A
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................
Yes
No
N/A
COMMENTS
Revised 10/15/18