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HomeMy WebLinkAboutChange of Contractor 14 w Planning&Development Services �{""� _" s! _ Building & Code Regulations Division M�� 0 �j� p 2300 Virginia Ave. a Fort Pierce,FL 34982 PER-10ITTING (772)462-1553 Fax 462-1578 5t. Lucie County, FL CHANGE OF CONTRACTOR Or Subcontractor or Cancellation of Permit Change of Contractor is to be completed 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, signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's name for job values greater than $2,500 ($7,500 if A/C Change-out). A recorded copy must be submitted prior to commencing any work. Subcontractor changes can be completed by the general contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the owner and qualifier of record. Date: i Permit umber:. _ y Site Address: e __�� ,,�� c1P""" 3e� tate License SLC License Original G eneralntrraactor(or Subcontractor) z0 AI 204 12L.1 I Lei W S State License SLC License New General Contractor(or Subcontractor) Reason for Change ALAI& T6 f A-,N The undersigned does hereby agree to indemnify and hold harmless St.Lucie County,its officers, agents,and employees from all costs,fees, or damages arising from any and all claims of action for any reason,which may arise as a result of this change of contractor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been perfor d. t/_, S NATURE OF OWNER (or ownedbu r) *SIGNA OF NEW GENERAL CONTRACTOR PRINT NAME�L �-1h�. 8i rZZ PRINT NAME 20 ti. State of Florida,County of St.Lucie County State of Florida,County of St-beete Gounty 'Die following instrument was acknowledged before me this. The following instrument was acknowledged before me this Y of ,20�y (�I day of %( " 20l?by who is personally know tome Bbna C�G�K who is personally know tome or who has d as ID. or*teo_ t 01, as ID. o��-Q g 191 r? Signature of Notary Date r7 "t I Signature of Notary Date *Only signature required for change of subcontract PETAONA PASCUAL Revised 07/21/14 - � NOtV PubIIC-$tate of Florida �!!� •f CommIssion#FF 995716 RIANA AL (10 MY Comm.Expires May 24,1;j: Notary Public-State of FloridaBOndedfhiouph National Nrnan -- My Comm.Expire s Jun 23,2017 � •- -Ni9iF�Fp�O� commission # FF 030245 !!l11111 ' All APPLIC LE,YO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s i Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 3498.2 ,Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: Z Legal Description: f� C.Y 'n© � ^� Property Tax ID#: y 4-3C� - c�oi'?,-� mac=� Lot No.�� Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Additional work to toe perrormea un clert is permit-check all that apply: —Mechanical _Gas Tank ^Gas Piping _Shutters 1✓ Windows/Doors v Electric Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Z51�6-11 Cost of Construction: �Z. Utilities: —Sewer _Septic Building Height: Name b �/l � l��C �g NameJW4 fi 44 0 6" Address: Company: fLL 14- O,t.l L.bcTlt� City: z9 6±V �? State Address:4177. l S E L6/3cf72T' LDoP fzp Zip Code: v Fax: City: -r State: F Phone No. "7"7 � Zip Code: Fax: E-Mail: r�-W-441e L- _ one No Fill in fee simple Title Holder on next page(if different E-Mail 4L A I(-V &7z.J &T,g A L�o from the Owner listed above) State or County Licensel �1 7S-d 3 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. l•'d £8L£LZZZLL sieplln8 H-N d9£:LO'L6 601eA Mar 0917,07:35p RLH Builders 7722213783 p•2 DESIGNER/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: 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 the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenpnts 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,perforrh.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 rcioms.and,accessary usesto another Ron-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 cornmencing work or recording our Notice of ommencemen . i %• f Signature of Owner/Lessee/Contractor as A n f/or Owner -.Sig u o on for/License Holder -STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Jf��n �7 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of �11�r�- ,20/? by this ��/ day of 20 1•7 by A o n co� J y C/'" (Name of person acknowledging} (Name of person acknowledging) fit (Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida} Personally Known OR Produced Identification `` Personally Known OR Pro uci !on- Type of Identification Type of Identification „,,,, TERESA L Produced Gt, •• • ERESA L 6L"h!i!I' v! Produced .° tary PuC•Ic- Holary Public-Stai: -0•_My Comm.E:pira Commission No. _•a ° =My.Co> �p'ues C;::s.' Commission No. r Commission o;Ff 717!is °o-° """• '......`..:' . om REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ] COMPLETED ✓per Rev.7/2014 Scope of Worst: Work consists of temporary shoring of floor flaming and.roof trusses at 2511 Hollyberry Lane,Port St.Lucie,Florida These plans are designed to the following standards Florida Building Code 2014 201T NEC General Notes.., All worts to be performed`by licensed,insured contractors in accordance with all applicable-codes-and ordinances . General.Contractor to field verify all dimensions and c � notify and to • �Y Architectof discrepancies before proceeding., Typical Shoring Provide(42"screw jack post shores each side(2)2x8:temporary beam to support floor framing and roof trusses as indicated. Floor load 40PSF,.Roof Ioad 55 PSF Temporary Shoring. .251 l:Hollyberr-L ne Port St: Lucie,,FL. } OF ti < � O _ JOSEPH:P. -WC- ARTY, ARCI TECT, Inc. 900 EAST O CEOLA STREET 287-673 5 Tr s �,�� STUART FLORIDA RFD P� D'.P:R Registration Number 9639 i i >> pP9e �r�► r V