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Home My WebLink AboutChange of ContractorPLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 RECEIVED AUG 19 2021 St. Lucre County Permitting 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. X 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. Kca 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: 08/19/21 Site Address: 6400 KOBLEGARD RD, FORT PIERCE FL 34951 Original GC, subcontractor or ownerlbuilder ORCHID ISLAND ROOFING New GC, subcontractor Reason for Cancellation Permit Number: 2101-0338 License SLC License License CCC132968 SLC License 29273 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 con r/subcontrac or or cancellation of permit. A permit cannot be rneelled if work has been performed. GNATURE OF OWNER (or wner/builder) SlGNkf1JR'E GENERAL CONTRACTOR (or new GC, as applicable) PRINT NAME James D Wright PRINTNAME Doug Leman State of Florida, County of St. Lucie County The following instrument was acknowledged before me this 19 day of August 20D �_ h KJ 4 who is personally known to me Covho has pr uced as ID. �� 08/19/21 Signature of Notary Date yr CARALEE W:a3 Revised_ , �: Notary Public StatFlorida Commission , H650 ''•*oF�° My Comm. Expires , 2025Bonded through Nationalry Assn. State of Florida, County of St. Lucie County The following instrument was acknowledged before me this ig day of August 20? —by Doug Leman who is personally known to =,A rodu d �8�asgID. \ME /21 Signature of Notary Date CARALEE WELLS .r4r; Notary Public - State of Florica "a Commission N HH 076650 F. My Comm. Expires Jan 3, 2025 Bonded through National Notary Assn. PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES - - Building & Code Compliance Division RECEIVED 0, --_. -- ,-- BUILDING PERMIT SUB -CONTRACTOR AGREEMENT AUG 1.9 2021 St. Lucie County Permitting ORCHID ISLAND ROOFING - have agreed to be (Company Name/Individual Name) the ROOFING Sub -contractor for JAMES D WRIGHT (Type of Trade) For the project located at 6400 KOBLEGARD ROAD (Primary Contractor) (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -co t ctor notice. t CONTRACTOR SIGNATURE ( alifier) SUB-CONbCkOFOR SIGNATURE (Qualifier) JAMES D WRIGHT DOUG LEMAN PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of a L�� The foregoing instrument was sign before me this day of who is personally known _or has produced a as id e tification. Signa ure of Notary Public Print Name of Notary Public i COUNTY CERTIFICATION NUMBER State of Florida, County of n The foregoing instrument was signed before me this �A_ day of 2Q, by fj ) n who is personally known _or has produced a as identification. V STAMP STAMP Signa ure of Notary Public ::otiLr�a�a4: CARALEE WELLS sr • �- Notary Public - State of Fiorida y' e. Commission �-Ir1076650 Revised I1/16/2016 �pvF°°r My Comm. Expires Jar 3, 2025 Banded through National Notary Assn. Print Name of Notary Public," �' �; CARALEE WELLS Notary u c - State o` ::oriea '. q Hii 076650 i N ,qo` Iv. Commission My Comm. Expires Jan 3. " -- Bonded through N,160na:tiOtE' ,:. 656 US Highway 1 Vero Beach, FL 32960 License CM 329687 James D Wright 6400 Koblegard Rd Fort Pierce, FL 34951 Project Address: 6400 Koblegard Rd RECEIVED Scope' of :Work All materials will be installed per Florida Building Code Install materials listed_:below 2021 County itt!A9 Proposal Date Estimate # Rep 7/28/2021 12056 JLH rch*ld Island )of *i n2 5V 249a re -roof 2021 Sharkskin Ultra SA roof underlayment 24 gage 5-V metal roof system (Gaivalume) with the screws 12" OC on the ribs, 4" on the bottom row through the drip edge 2 face :Galvalume. drip edge Gable Trim Rolled: ridgecap 5-V screws Valley •Metal New Pipe Boots Goose ;Neck -Galt' OSI Clear Caulk Dump fees. Orchid Island Roofing will procure all needed permits from the Saint Lucie County Building Department. 0rchid.Island! Roofng warranties; that this Metal.:roof will .not. leak for 5years, under.. normal conditions: Orchid Island: Roofing.will repair:any-leak in this -time period. Any hurricane force winds void.thi§ warranty. OR proposes to furnish labor and materials for the above specs for the sum of., G�TIN Date of acceptance Signature Payment: 30% deposit, 50% when underlayment is Installed, balance when job is complete. Acceptance of proposal, and the terms on the reverse side are hereby accepted.OlR LLC is authorized to do the work specified. Prices good for 15 days from date of proposal. (772)643-5950 Page 1 orchidislandroofing.com 56 US Highway 1 Vero Beach, FL 32960 License CCC1329687 James D Wright 6400 Koblegard Rd Fort Pierce, FL 34951 Project Address: 6400 Koblegard Rd Scope -of Work Proposal Date Estimate # Rep 7/28/2021 . 12056 ]L1-1 rch*ld Island )of *i nR 5V 24ga re -roof 2021 OIl2 proposes to furnish labor and materials for the aboie ecs for the s f.- $28,797.00 Tr�� Date of acceptance_0 � Signa s( �''75 J 2-0 c Payment: 30%deposit, 50%when underlayment is installed, balance when job is complete. Acceptance of proposal, and the terms on the reverse side are hereby accepted.01R LLC is authorized to do the work specified. Prices good for 15 days from date of proposal. (772)643-5950 Page 2 orchidislandroofing.com