HomeMy WebLinkAboutRegina Smith permit info- CHANGE OF CONTRACTOR INFOPLANNING & U1?VI:I.UPMI:N'I' tit?IiVIC'I.�
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
4
F()RT 1'Ii RC E" 11, 34982
(772) 462-1553 FAX 462-1578
CHANGE, OF CONTRACTOR, SUBCONTRACTOR OR CANCE.I.I.ATION O1'' PFRNlT
11I.I: 1" SI:I.1: 1.ONI:-01' I lll: H)I.l.0WIWi:
C'IIANGE OFCONTRACTOR — ('Fudge of ColltraClot• is to be signe(1 and notarirecl by the property owner,
and the new contractor of record for file current permit. A new permil application mist also be compleled with new
ColltrActur ill!01'111atioll MW signoltire, A liew Notice of• Con1111C11ccillenl mist he filed ill the new corltraclor's name
for job values greater than $2,500 ($7,500 if A/C ('hange-out). A recorded copy must be submitted prior to
commencing any work. There is a $S(I.UII fee for the Change of Contractor.
CIIANGF OF St1BCONTIZACTOR — Subcowntetor changes are to be completed by the general contractor.
The rlew suhcontractor n1us1 Jill out it Subcontractor Agreement Form. There is it $50.00 Ice for the Change ol' Suh-
Contractor.
CANCELLATION Oh PERMIT —The cancellation ofit permit is acceptable only if tlo work has been clone.
Cancellation of permit is to be signed an(I notarize(l by both the owner and (lualificr of record. There is no fee for
cancellation of the permit.
Date: i l2 O c9—� Permit Number: C9�9 — 0a03
Site Address: a�� � �� � �� r0a 1 I
fl n ! ►t/t ly IZv State Licensecoc r 32 61 KLC License
Original GC, subcontractor or ow is tiilder Co(dj-n(A-J 90 06State Licens6Zb325 ►3 SLC Liccnse 1` �]
®9�-
New GC, SUbcontractor f� i !
Reason for Cancellation �_ Q1 t� DII (�` I)0 d ! tQf �C 14 0�yr]
The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all
costs, fees or damages arising from any and all claims of action For griv reason, which may arise as a result of this change of
ontractor/sub tractor or cancellation of permit. A permit nnot h ancelled if work has been performed.
IGNA ME OF —OWNER (Or owner/builder) SIG RE GENERAL CONT jRAC'rOR neN'(UC, as applicable)
PRINT NAME �[� a,m 1 PRINTNAME Q` ! r
State of Florida, County of St. Lucie County State of Florida, County of St. Lucie County
The
ibliowing instnnuent was a nowledgc hefore me this Tl'hc f lowing inst imcttt�s led e bcfn ne this � L
RQ " day ofNW09 0�. by �%Y] i ay of r(`� WY �`I ri
who is person, known to life who is personally known to
or 11, has produced � :tS`tl� me or vhi as produced as
i1l�a�"za
Signature of Notary Date signature of Notary Date
Revis r Y� tE JENNIFER DAVIS :: pi JENNIFER DAVIS
*. *; MY COMMISSION # GG 953418 MY COMMISSION # GG %U18
oe EXPIRES, February 29, 2024 • PAS EXPIRES' February 29, 2024
4
•' Bonded Thru Notary Public Underwriters E oF;' °.•'' Bonded Thru Notary Public Underwriter$
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building PermitApplication
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: L
Address:
Legal Description:
S10 t3ly
Property Tax ID #: c,i i' 1 — (2(1_()0 9- 000 — 0 Lot No.�
Site Plan Name: Block No. _
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional Work to be�jertormed under this permit- check a y app :
�HVAC L�I Gas Tank Gas Piping _ Shutters
Electric 0 Plumbing Sprinklers O Generator
Total Sq. Ft of Construction:
Cost of Construction: $
# Pa. sA
M AM SX,- sv J""Jwe", d-4L .
5 Ft. of First Floor: _
Utilities:E Sewer E Septic
indows/Doors
T Roof
Building Height:
�ik
OWN ER/LESSEE:
'CONTRACTOR:
Name J
Name:
Address:
Company: J04-
City: State: F�L
Zip Code: 3WC, V-) Fax:
Phone No. 2 -- -
Address: Nl P 1.
City: �(� S ate:
Zip Code�3ygsz Fax:
Phone No. -7? ' S
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail:
State or County License: Cr( 0,3-D
IT value or Construction Is y45UU or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLE BOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name:
Address:
Citv:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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
commenciniz work or recording vour Notice of Commencement.
'Signat r of Own / Lessee/Agent Signature of Con actor/License der
STATE OF FLORI A ATE OF FLO
COUNTY OF _ K 64 COUNTY OF
The r mg instrk� n �nras a k o ledged before me The forgoing instrument was acknocrledged before me
thi� ay of I 20 9 tZg day of ( �] � , 20 by
(Na of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR
Type of Identification Produces
Commis a l4Y JENNIFER DAVIS Seal}
N # GG 98'
EXPIRES: February 29, 2024
o n
(Name of person acknowl ing )
nature of Notary Publisi State of Florida )
n Personally Known OR Produced Identification
Type of Identification Produced
Commission N is+rp ENNIFER SI)
MY COMMISSION # GG 953418
Bonded Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
1'
COMPANY, ENC.
aZw Xardinalrcofin.g.00m
Regina Smith November 3, 2020
2506 Kerr Street, Fort Pierce, FL 34947
Jeffrey Hallsten: 772-940-8119 email: hollstenjeff@comcast.net
METAL RE -ROOF CONTRACT
NO GUTTERS TO REMAIN. NO PAN ROOF WORK INCLUDED, NO INTERIOR WORK INCLUDED.
HOMEOWNER IS RESPONSIBLE FOR: ANY ELECTRICAL WORK RELATED TO ROOF VENTING, SATELLITE
DISH AND SOLAR PANEL REMOVAL PRIOR TO JOB START.
1) Remove the existing drip edge on low slope/flat roof areas.
2) Install Polyglass Noilable base sheet over the existing base sheet with tin tags and nails.
3) Apply Polyglass SA base sheet over the nail base.
4) Fasten new 3"x3"mill finish galvalume drip edge per code. Prime all metal surfaces
5) Fully adhere the Polyglass SA white cap sheet over the 2-ply base system,
6) Install Polyglass TU Max Peel & Stick over the existing material on steep slope 1"-1 Z" / 12" roof areas.
7) Fasten Metal Sales 269a. 5-V crimp galvalume panels with zac screws, per code.
8) Include all flashing, trim, pipe boots & vents.
9) Procure a permit, remove al I debris.
10) Issue the Cardinal labor warranty and the material warranty.
TOTAL: $10,990.00
Payment Schedule: 1st Draw -Deposit, Permit:
21 Draw -Tear Off, Dryin:
Final Draw -Roof Complete:
Gutters A Downspouts:
Accepted: Homeow r
R a Smith
$3,665,00 (Due Prior To Start)
$ 3, 663.00
$3,662.00
$5.00/PLFT
Accepted: Cardinal Roofing
Bruce Roessner
1To prevent UV degradation, this underlayment must be covered within 180 days of installation. Some building jurisdictions will
require a second layer of material if this time period has expired. Plan your construction schedule accordingly. 2.Exposed ceilings
exist whereby the underside of the roof decking can be viewed from the interior of the house. Roofing fasteners that are utilized
during installation can penetrate the decking and damage the exposed ceilings appearance. Therefore, it is the responsibility of the
homeowner to inform Cardinal Roofing if their house has exposed ceilings. There may be options available to the homeowner to
maintain the existing appearance. If the homeowner fails to inform Cardinal Roofing that their house has exposed ceilings, Cardinal
Roofing will accept no liability and will not make repairs to any exposed ceiling damaged during construction.3.If any additional
layers of roofing or self -adhered underlayment attached to the substrate are discovered they will be repaired and/or replaced at
an additional cost to the base price. 4.Any building materials i.e. (electric lines, water, gas, a/c ducts, etc.) that are installed next to
or near the underside of the roof deck, become dislodged or are penetrated during re -roof are not the responsibility of Cardinal
Roofing.
A 30/a SURCHARGE FEE WILL BE ADDED TO ALL CREDIT CARD PAYMENTS