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HomeMy WebLinkAbout Change of SUBContractor-ELECTRIC, 12.29.21 r Planning &Development Services � F Building& Code Regulations DivisionICOUNTY 2300 Virginia Ave. Fort Pierce,FL 34982 ©�C S.(772)462-1553 Fax 462-1578 41/, 1?0 CHANGE OF CONTRACTOR Or Subcontractor or Cancellation of Permit Change of Contractor is to be completed 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, signature, and transfer fee. 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. Subcontractor changes can be completed by the general contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the owner and qualifier of record. Date: November 30th,2021 Permit Number: 2012-0492 Site Address: 7964 Plantation Lakes Drive,Port Saint Lucie,FL 34986 R G Hair Inc. State License CGC016680 SLC License 19991 Original General Contractor(or Subcontractor) Santoro,Eugene Frank,Coastal Development Coproration State License CBC059814 SLC License New General Contractor(or Subcontractor) { Reason for Change Termination of Contract 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 has been'performed. S NATURE OF O ER (or owner/builder) ' IGNATURE OF GENERA CON OR 6 PRINT NAM PR NT NAME_ JT,@ Lt P� � State of Florida,County of St.Lucie County State of Florida,County of-St.Lucie County The followin instrument was acknowledged before me is The followin ,instrument wa-s(acknowledg �before me this ��'��-j(day off AT 201 1 by&l--- J¢. ) �� a A da ofaU�[gM�W 20.�L]bye_ who is personally know to me a• v l D who is personally know to me or o has produced as ID.2 h —� or as produced C9 f r ' } nature o Notary Date tary Date'astute of o *`Only signature required for change of subcontractor Revise 0 /.J,4 7---.0N JAIMEORTIZ; S JAIME ORT12 r°• otary Public State of Florida c ?°•�`1�•�`= Notary Public Stata of lot: . =a• o`z Commission N GG 228444 Commission It GO Z28;­1 9jFOFr�°� My Comm.Expires Jun 13,2022 (C. my Comm,Expires Juri ,3,2 c r :: Bonded through National Notary Assn. " Bonded cnrough National Notary r=y 5C� All APPLICABLE INF@d@Npb BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '-ti_C �� 2021 Permit Number: c o. '� 06. . Building Permit Application Planning and Development Services xxx ' Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: € #? ff� g; ��Fr #11d�rrT �L• � dYrs { 1 Address: 7964 Plantation Lakes Drive Port St. Lucie 34986 Property Tax ID#: 33�1-803-0013-000-4 Lot No. 7 Site Plan Name: Reserve Plantation Phase IIA Block No. Project Name: Beland New House Build I?ETAILEU T�ESCRIPTlE3N CZF UVORKK t New home construction New Electrical Meter Yes Second Electrical Meter (Affidavit required) GtSTRC1'IQ IFFl1x[ATItNr � f �f r ;` Additional work to be performed under this permit—check all that apply: x Mechanical x Gas Tank _X Gas Piping _Shutters x Windows/Doors _Pond x Electric X Plumbing _Sprinklers x Generator x Roof 7/12 Pitch Total Sq. Ft of Construction: 4,310 Sq. Ft. of First Floor: 4,310 Cost of Construction:$ 659,980.00 Utilities: _Sewer X Septic Building Height: 19'8" CWNER�tLESEE� CONTRAT{}ft',k � a,:CO: w u................. Name Eddy Beland & Connie Beland Name: Eugene F. Santoro Address:2nHilltr,p nrivP Company: SCI Construction, Inc. City: Ayr.Ontario, Canada State:_ Address: 500 SW Sanctuary Dr. Zip Code: N0B1E0 Fax: 5196328770 City: Port St. Lucie State: Fl. Phone No. 5196325059 E- Zip Code: 34986 Fax: Mail: eddy@coretec.ca Phone No 772-370-1967 Fill in fee simple Title Holder on next page (if different . E-Mail flochief@comcast.net from the Owner listed above) State or County License CBC 095814 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. S PPLE UI�hITAL CC}I STRIJC M TO N� DESIGNER/ENGINEER: X—Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: 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. 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 lender or an attorney before commencing work or recording our Notice of Commencement. Signatu of Contractor-or-Owner Builder as applicable STATE OF FLORIDA COUNTY OF Lv c-iZ Sworn tt&r affi ed)and�subs ribed before me of Physical Presence or Online Notarization this day of 20V by Name of perso king statement. Personally Known OR Produced Identification Type o ntification Produced (Si-gbatuze of No ry Public-State of FI i ........ JAIME Oa71Z a' n =r°• Notary Public•State tf t:I&W Commission No ' 22ANt�L ,Seal ,= Commission N GG 229444 oe;_ My Comm.Expires Jury f 3,2622 ` Bonded through Nati®rraE k6tzry ItsSf; REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10112121