The URL can be used to link to this page

Home My WebLink AboutWS Lot 11 - Change of ContractorPLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 4624553 FAX 4624578 CHANGE OF CONTRACTOR. SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECT ONE OF THE FOLLOWING: CHANGE OF CONTRACTOR— Change of Contractor is to be signed and notarized 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 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 $50.00 fee for the Change of Contractor. xxx 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 $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. ��11 Date: (oJ� 0 pCOA Permit Number:��. & J0 - 3 " Q�51 Site Address: �"�Q>�D *-ttc-ire-+�w^lti, , �p fYLtau �1y�r�i�1.Q �. emu. State License SLC License Original G , subcontractor k owner/builder I � { gojrftm Y� JC4z L YIY1lf1 & StateLicensc2QZkflr71_SLCLicense New GC, subcontract r Reason for Cancellation Non -Performance The undersigned does hereby agree to indemnify and hold harmless SfLuclf County, its Jha��ormeds cers, agents and employees from all costs, fees or da cot cages y t" any and all claims of action for a reas n, whic m rise as a result of this change of contractor/s or or cancellation of permit. A permit canno be can ellj i jvor' PRINT NAME Kevin Borkenhagen State of Florida, County of St. Lucie County The following instrument was acknowledged before me this r has produced as lD, signature ofNotar •''"'r'"`•gti�: YVA�'EEN E INGERSOLL Commission # GO 149183 Expires Novembe Revised 09/15 r3,2021 ' o.`.'k°•Po, BOMedihm Troy Fain lnsumno8 ONTRACTOR (or new GC, as applicable) C. Lindstrom State of Florida, County of St. Lucie County The following instrument was acknowledged before me this zs day Of � 20 z�by �arvarua.uw. wh rersonall eNrm to me or o has pro uced as ID. Signature of Notary Date MY COMMISSION 1S GG 108105 ,.o EXPIRES: M1pri122, 2022 %.2oFi°.•� BondedThmNomry FubllcUndetwnlere All APPLICABLE INFO VUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �,, Q Date: aa!Aj Permit Number: 5 L 0`8 � c(Al Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential xxxxx 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR:Cha Address: Property TaxlD#: t�11.' lu Site Plan Name: Waterstone Phase one PYojeCt Name: Aspire At Waterstone Change of Contractor- Non compliance e %J Contractor - HVAC New Electrical Meter Second Electrical Additio al work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas Piping _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ Lot No. Block No. _0 _Shutters _Windows/Doors _Pond _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: 00{l��N E•, �LEaSVS � $�esy,,.h -��: •^t ., z �. ,c i�,� .� a•,>� y�, b.�#�."a�,.:Y �`i��.. R�n�n.�xiaF.,a?;Ftv,. � t , re aT' � z � rl� r-,. n..saaa��k:,:.et ?.. • ' �>�v`��:?3r,""t.F:�c.�.rSC:_. �4�..ri�� _ Name 1101tLYU, Name: Jeffrey C. Lindstrom Address: Ztr� Company: Lindstrom Air Conditioning & Plumbing ..lt� . t • �__�4 a _ City:.+.--� -.u.- = Zip Code: ojkO Fax: Phone NIo.I 5kek ' dD4Z6 4290 SW Port Wa Address: Y City: Palm City State: FI_ Zip Code: 33490 Fax: Phone No 954-312-2963 E-Mail: ® RN6\/ • O D Fill in fee from the simple Title Holder on next page ( if different Owner listed above) E-Mail lisag@lindstromair.com State or County License CAC056971 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. It value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required. rP �N AFL CONS sR CT10N lRN LAUV 1� It 5®RM TON E DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: Not Applicable 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 con ict 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 Co: improvements to your property. A Notice of Commem Lucie County anJpa&tkd_2DJke jobsite before the first as Agent for Owner STATE OF FLORIDA COUNTY OF �� Sworn to (or affirmed) and subscribed before me of L Ph slaPce Onlineh��otabryzation this�day of u_2 K,ma,Y&4vin13orke6agen Name of person making statement Personally Known � OR Produced Identification_ T eofldentification Pro ced (Signature of Notary Pu Ic;,,pta e o [ INGERSOLL mmiuo0, GO 149183 Commission No. „piresrNober3,2021 Bonded Thru Troy Fain Insurance£ FRONT t may result in paying twice for t be ecorded in the public records of st. If yo i ip�Vcl to obtain financing, consult (or affirmed) and subscribed before me of sical Pres or Online Notarization day of 1"— , 2026 by Name of person making Personally Known!' Type of Identification of Notary Commission No. OR Produced Identification ""� LISAGIBBS MYSC�y��ISSION�.GG19B AptI12202022 Oondod TWO 40031y NNW Undan REVIEWS S MANGROVE REV EWLE I I I I ZONING I S I I VREV COUNTER REVIEWOR REVIEW EWON