Loading...
HomeMy WebLinkAboutChange of Subcontractor- Electrical Bldgs A-F- - - — PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION COUNTY 2300 VIRGINIA AVE - FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTM SUBCONTRACTOR OR CANCELLATION OF PERMIT 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 52,500 ($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. 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: 2 /2021 Permit Number: Site Address: 9563 S. Ocean Drive, Jensen Beach 34957 2010-0252 Arlington Electric, Inc. State License EC13007767 SLC License 30840 Original GC, subcontractor or owneribuilder Biyco Electric, LLC Stale License EC13001240 SLC License 31779 New GC, subcontractor Reason ror Cancellation 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 contracts contractor or cancellation of permit. A permit cannot be cancefl if work f been Performed. S1GNA rURE OF OWNER (or otvnerbudder) SIGNATURF. GEN -.RA . CONTRACTOR (ornew GC, as applicable) PRINT NANF,, J [' ?a _--� PRIM VANE State of Florida, County OHWAAW",;ra" State of Florida. County of St, Lucie County The following insaument was acknowledged belbre me this day of . , 20. by_13.. ykpC1 _ who is personally kno%%m to me �nrlqs produced— as 10. � ...` j# { 2/812021 Signature of Notary Date Revised 04/15/16 JODI L PETERSON lli s Wary Public - Stateolflorida Commission t GG 072280 My Comm. Expires Feb 12, 2021 Mf Ilowing" t Ln!was acknowleel ed m ethic y of I by wha is m-rsonally known to - �� who has pro cluced - .!nL.. --as[D. r ~ Signature of r }i ► + ti —'BONNIE A. DIXON Roca +P; i 1 ry Notary Public • State of Q? Commttslon 9 GG 2' 4365 t' ,Pt My Comm. Expires Jun 9, 2022 Bonded through Nation'. Notary Assn. PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERINIT PLEASE SELECT ONE OC 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 $2,500 (S7,500 if A/C Change -out). A recorded copy must be submitted prior to commencing any work. There is a S50.00 fee for the Change of Contractor. X CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor. The new subcontractor must fill out a Subcontractor Agreement Form. There is a S50.00 fee for the Change of Sub - Contractor. CANCELLATION OF PEILNUT — The cancellation of a permit is acceptable only if no work has been done_ Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for cancellation of the permit. Date: 2f8/2021 Permit Number: 2010.0267 Site Address: 9563 S. Ocean Drive, Jensen Beach 34957 Arlington Electric, Inc. State License EC13007767 SLC License 30840 Original GC, subcontractor or ownerlbuilder Blyco Electric, LLC State License EC13001240 SLC License 31779 New GC, subcontractor Reason for Cancellation The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all costs, fees or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contractorr'sub ontractor or cancellation of permit. A permit cannot be cancelled If rv)Rric has been performed. SIGNATURE OFOWNFR er ornwner.'buil a —� { d) SIGNATURE GFN�GRnAL e010 RaCTO/R {urnew GC, as applicable) PPENT NAME ,�_ i PRlv1 VA1IE / Cf't'r�ft�� �L�li�� State of Florida, County ofaty The rollowtng instrument was acknowledged before me tins �tay of QA-,� 2Oa-1 , byav 9 _who is Cxrson_alty known to me or who has ppadmyd as lD ��tiL.��� 218/2021 Signature of Votary Date Pevssed OVIV ;•; .P'"•,, JODI L PETERSON Public - Stateaf flotida . ; z�i�ov� ,••' Notary Commission i GG 072280 My Comm. Expires Feb 12, 2021 gan&dthMghnahWalWaryAoo. State of Florida, County orSt Lucie County wing m I. acknowledged before me this �} ro�f�Z'-D�-$y f vi. r Lin I -r/Wno.is_aersonally known to -m• r Who has anximed e-. ' -tee as ID of ME A. DWON notary Public • State of Florida t yzT Commisslon N GG 214365 ?c M1 My Comm. Expires Jun 9, 2022 Bonded through National Notary Assn. -- - - PLANNING & DEVELOPMENT SERVICES -I = BUILDING & ZONING DIVISION 2300 VIRGENIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMIT 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 (S7,500 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 $50.00 fee for the Change of Sub - Contractor. CANCELLATION OF PERIMIT — The cancellation of a permit is acceptable only if no work has been done. Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for cancellation of the permit. Date: 218/2021 Permit Number: 2010.0271 Site Address: 9563 S. Ocean Drive, Jensen Beach 34957 Arlington Electric, Inc. State License EC13007767 SLC License 30840 Original GC, subcontractor or owner/builder 13lyco Electric, LLC State License EC13001240 SLC License 31779 New GC, subcontractor Reason for Cancellation The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all costs, fees or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contractorsubcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed. SiGNATt'RLOI-'OWNCR(orowner.bultder) SIGNATURFGENI i. CPF4TRACTOR(ornewciC,asapplicable) PRINT NADIR- . 1-w:3 PRINTNA,NIE 4� Jam. State of Florida, County oF$t.awar{ougty The following instrument was acknawlalged before me this day o r 1:Z—b • 20_�_L, by �� -L7{{ who is perwnally known to me or who has iproctuced as ID r 202021 Signature of,Notary Date ,e•�„p. JOOI L PETERSON Revised :�4,'1-!tG � ¢1Notary Public -State of Florida •. Commission#GG072280 +; My Comm. Expires Feb12,2021 aOp IlWdedthIC4hatiaulNotaryMp, State of Florida, County of St. Lucie Count} " In r t was,u aged before me this Y L P I 'Aho i_s0rr 0211Y known who has produced ID. f 5tgnatureof,'�otE.: i Na i ubll[ State of Flcrida Cranmisslon A GG 214365 My Comm. Expires Jun 4, 2022 ded through National Notary Assn PLANNING & DEVELOPMENT SERVICES ''- - BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE -OF CONTRACTOR, SUBCON"I'RACTOR OR CANCELLATION OF PERUNIT 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 (57,500 if A/C Change -out). A recorded copy must be submitted prior to commencing any work. There Is a S50.00 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. 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: 2/812021 Permit Number. 2010.0274 Site Address: 9563 S. Ocean Drive, Jensen Beach 34957 Arlington Electric. Inc. State License EC13007767 SLC License 30840 Original GC, subcontractor or ownerfbuiider Blyco Electric LLC State License EC13001240 SLC License 31779 New GC, subcontractor Reason for Cancellation 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 'sub ontractor or cancellation of permit. A permit cannot be cancelled if work has been performed. SIGN,\TURE:OFOWNER(or nwnevlsuilder) SIGN:%TUREGIERALC0 TRACTOR(ornewGC,asapplicabkc) PRINT NAYS Srt_ t 4:,; PRINT NAUkIE State o f Flonda. Coutny of =2� _ The following instnumrit was acknowledged before me this _J day of-RU.. _. , 200�, by_3kg�-,, who is personally known to me or who has produced as ID. ��� 2/8/2021 Signature of Nolary Date Revised 04{15IS'a �'� 1° ''= JOINLPETEASON Notarypuhiic-state of Fl]2021 • ; Commission t GG o122 =;hy My Comm. Expires Feb 12,amdedlhmghNatkmWNota State of Flonda, County of St Lucie County Yo f I !� 'c o bbYgczi before me this lUI — t L) itb �ytpcmga !X known - to �nr-whio has produced as ID. C, 20 Signature of Y' . AIE A. DIXON Notary Public • State of Florida 4} Y Y'rcr Commission x GG 214365 n my Comm. Expires Jun 9, 2622 Banded through National Notary Assn. PLANNING & DEVELOPMENT SERVICES " = - BUILDING & ZONING DIVISION ° 2300 VIRGINIA AVE ^ter FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMIT PLEASE SELECT ONE OF THE FOLLOWING.' CHANGE OF CONTRACTOR — Change of Contractor is to be sighed 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 S50.00 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: 2/8/2021 Permit Number: 2010-0277 Site Address: 9563 S. Ocean Drive, Jensen Beach 34957 Arlington Electric Inc State License EC:13007767 SLC License 3W4O Original GC, subcontractor or owner/builder Blyco Electric, LI-C: New GC, subcontractor Reason for Cancellation License EC13001240 SLC License 31779 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 anse as a result of this change of contractor subcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed. J } 51GNATURE:OFOWNER (prow tlder) SIGNA-rt)RE 0ENE:RACC 1NTRACTOR (or new CC, as applicable) PRINT NAME ��• � PRINTNAXIttKQQ State of Florida, County or L��y The following instrument was acknowledged berbre me this --dayor,;iA� 21a ,bY� t who is personally known to me or who has p uced as ID, { V812021 Signature or Notary D21e Revised 04/1.Vt a �aiv'a JODI L PETERSON r. Wary Public - State offiorida Commission I GG 072280 My Comm. Expires Feb 12, 2021 MOF,`ti Bandedr,m*NatimalNa"Assn. State of Florida, County of St. Lucie County lowing i s ac ged before me this \lTt.i titay of-trt , ? by who��, nally.knnstin.do .,rne..ib; who has produced ---2 as tD r Signature orN _ ry��,.�4 DaAbNNlEA.WON �1f Notary Public • State of Florida Commission 0 GG 214365 e My Comm, Expires Jurt 9, 2022 3onded through National Notary Assn. PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMIT 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 (S7,500 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 flit 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 silted and notarized by both the owner and qualifier of record. There is no fee for cancellation of the permit. Date: 2/812021 Permit Number: 2010-0279 Site Address: 9563 S. Ocean Drive, Jensen Beach 34957 Arlington Electric, Inc. State License EC13007767 SLC License 30840 Original GC, subcontractor or ownerlbuilder Slyco Electric, LLC State License EC13001240 SLC License 31779 New GC, subcontractor Reason for Cancellation 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 rk has been performed. SIGNATURE OFON'NER (uruwneFbuiiderl SIGNATURE GENERAL NfRACTOR tornew GC, as applimblel PRFHT NAME_: - PRINT NAAI State of Florida, County o t.uFi<> cyoty State of Florida. County of St, Lucie County The following instnunent was acknowlL•dged before the thts �daky of UJ�. ,'� , by 1J� ' elf' who is personally known to me Who ha tiro ed as ID 202021 S gnature of :Notary Date Reuisee! 04/13/16 o�+R� 1tx11LPETER50N Notary Public -State of Florida ' Commission a GG 072280 My Comm. Expires Feb 12, 2021 ?OPF` BwdedthroL*NatmlWary Assa wing itu ac lodged before me this doy of by - Moe- C n %r mwho has pLmiuced_T as ID. ,, . Signature of lvota IRMAIE A. DIXON Notary public State of Florida f : Commission p GG 21434S n Yy Comm, Expires Jun 9, 2022 a0rdrd through National Notary Assn.