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Home My WebLink AboutChange of Contractor (Permit 2012-0656)PLANNING & DEVELOPMENT SERVICES a BUILDING & ZONING DIVISION I ilk, 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 4624553 FAX 462-1578 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. 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. Date: 9/21 /2021 Permit Number: 2012-0656 Site Address: 119 Ocean Estates Dr, Ft Piece, FL 34949 TRM Construction Managment Inc. State License CGC 024829 SLC License Original GC, subcontractor or owner/builder PB Built State License CGC 026712 SLC License New GC, subcontractor Reason for Cancellation Owner decision to change contractors The undersigned does hereby agree to indemnify and hold harmless St Lu ' oun , ' s officers, agents and employees from all costs, fees or damages arising from any and all claims of action for an aso , w may arise as a result of this change of contractor/su ontractor or cancellation of permit. A permit canno a can elle work has been performed. SIGNA' R . O� R (or owner/builder) SIGN—AliRE GENERAL CONTRACTOR (or new GC, as applicable) PRINT ME� (iGy (ACA A NI-A�./ PRrNTNAME Anthony Panebianco Otes� �*t_ t-1ti L-c— L State of Florida, County of St. Lucie County State of Florida, County of St. Lucie County The following instrument was acknowledged before me this LI day of'it- t% 20? ( by C aC. 41A, _ who is ersona k wn tome or who has produced as ID. Jp7t,; q, b,,,, 1 /2021 Signature of Notary Date %„r.Al"o, LORI ANNE DEMARCO Revised sNotary Public -State of Florida • Commission N GG 908503 My Commission Expires "rtr�rt" August 28, 2023 following instrument was acknowledged before me this day of. 20Z , by _ Y1 e a pe If�is who is personally known to me or w ced as ID. Signa r of Notary llate i�Y °��G JENNIFER DAVERSA '?°%��'; Notary Public . State of Florida Commission 4 HH 056351 'ov My Comm. Expires Oct 22, 2024 Bonded through National Notary Assr. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: `Ifs ILI UY Cut Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 119 Ocean Estates Dr, Ft Piece, FL 34949 Property Tax ID #: 1403-500-0044-000-5 Site Plan Name: Avalon Beach P.U.D. Project Name: Avalon Beach - Lot 28 DETAILED DESCRIPTION OF WORK: Construction of a new single family residence with driveway, fence and patio deck New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Additional work to be performed under this permit — check all that apply: X Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors X Electric x Plumbing x Sprinklers _Generator _x Roof Total Sq. Ft of Construction: 3,401 Sq. Ft. of First Floor: Cost of Construction: $ 427,109.00 Utilities: x Sewer _ Septic Lot No. 28 Block No. 2 Pond Pitch Building Height: 30'3" OWNER/LESSEE: CONTRACTOR: Name Ocean Estate Drive, LLC Name: Anthony Panebianco Address: 9508 Windy Ridge Drive Company: PB Built City: Windermere State: FL Zip Code: 34786 Fax: Phone No. 772-546-4197 E- Address: 2151 S. Alternate A1A, Suite 425 City: Jupiter State: FL Zip Code: 33477 Fax: Phone No 561-575-0664 Mail:-matt@gelcorp.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-mail Alyssa@pb-built.com State or County License CGC 026712 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Nasrallah Architectural MORTGAGE COMPANY: _ Not Applicable Name: Address: 3920 Edgewater Drive, Suite 101 City: Orlando State: FL Zip: 32804 Phone 407-647-0938 Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with n er r an attorney before commencing work or recording our Notice of Commencement. LI-L Sign of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA , COUNTY OF St, Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 4day of 20?-k by Name of person making statement. \ Personally Known , OR Produced Identification Type of Identification Produced nOAAkVk,k-' 0_PXkKWZL_ (Signature of—Prory Public- S e of Florida) ti�jr"ap JENNIFER DAVERSA Notary Public - State of Florida Commission No. (Seal)'?�i hNye< Commission # HH 05635' ac v?t' My Comm. Expires Oct 22, 2024 Bonded through National Notary Ass,-. v� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5120121