Loading...
HomeMy WebLinkAboutChange of ContractorPLANNING & DEVELOPMENT SERVICF4CSIVEd BUILDING & ZONING DIVISION 2300 VIRGINIA AVE SEP .02 2021 FORT PIERCE, FL 34982 sr. 41cie, (772) 462-1553 FAX 462-1578 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 m l st be submitted prior to commencing any work. There is a $50.00 fee for the Change of Contractor. 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. q j Date: I Z 121 Permit Numiber: 2 0 0 Site Address: In c of �er ' r 14 II ` All &owar Der eC i (l C State Original GC, subcontractor or owner/builder 0 (d n t r (4! 1 C- State New GC, subcontractor Reason for Cancellation S erce, 1P•L, 3 The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agf costs, fees or damages arising from any and all claims of action for any reason, which, may arise as a contractor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been SIGNATURE OF OWNER (or owner/builder) SIGNATURE GENERAL CONTRACTOR (oi PRINT NAME. PRINT NAME State of Florida, County of St. Lucie County The following ainstrument was acknowledged before me this . day of ftp' 20�, b&kA&_\ : �`a a {TT who is personally known to me or who has Droduced V L- as ID. State of Florida, County or St. Lucie County The following instrument was acknowledged day of 20_, by_ who is person me or who has produced as ID. Signature of �� Notary PW§c -State of Florida Signature of Notary Date e Commission N HH 086359 oFn°` My Comm. Expires Jan 28, 2025 Revised 0 Bonded through National NotaryAssn. License License nts and employees from all -esult of this change of performed. new GC, as applicable) :fore me this ly known to F O Planning & Development Services DepartIMIXE1VED Building & Code Regulations 2300 Virginia Avenue Fort Pierce; FloridIa 34982 SEEP 02 2021 (772) 462-1553 St. Lucia County OWNERIBUILDER AFFIDAVIT DISCLOSURE STATEMENT Permitting F.S. 489.103 (7) EXEMPTIONS State law requires constructionto be done by licensed contractors. You have applied foi, a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence for your use and occupancy. You. may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy. You may not build or improve said structures for the purposes of selling or leasing that building. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Initial Here. 54, If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved for sale or lease, which is a violation of this exemption. in, itial Here. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Your construction must comply with all applicable laws, ordinances, I building codes, and zoning regulations. Initial Here. S. I understand that the building official and inspectors are not there to design or give advice on how to meet the,. minimum code. Initial Here. G I understand that as an owner -builder that any contract disputes with sub -contractors and I mustlbe handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. {I Initial Here. f3 I understand that if I compensate any person or company for work performed they are required �to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the cost of the license. Initial Here. G, I understand that if any person that is unlicensed and uninsured gets injured on 'my constructio project -they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost, whiph could include loss of wages during recovery from their injury. Initial Here. J To qualify for this exemption under this subsection, an owner must personally appear, sign the building permit application, and initial the above i I hereby acknowledge that I have read and understand the above disclosure statement and that) I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and- acknowledged on this day of 5efe 2 ^ '';of 202-1. 5• Owner/Builder Signature STATE OF FLORIDA COUNTY OF The foregoing instrument Aas acknowledged before me this a day of 5rt , 20 l by who is personally known o e o&w o a produced as i n 4 on. DEANNA GIVENS Notary Public - State of Florida �J �.(1 :awl Q•' Commission X HH 086359 Signature of No ary Type or Print Name of Nota of My Comm..E - J 28, 2025 Title: Notary Public Commission Number Bonded throughNati Mary Assn.