HomeMy WebLinkAboutChange of Contractor & new elelctrical sub agreement All APPLICABLE INFO MUST•BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: _ J
o
• FEB 0 8 2022
p ° ° Building Permit App ication
St.Lucie County
Planning and Development Services Permitting
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 ST LUCIE BLVD FORT PIERCE, FL 34946
Property Tax ID#: 1428-702-1492-000-4 Lot No.
Site Plan Name: ISLAMORADA BEER COMPANY Block No.
Project Name: NEW CONSTRUCTION OF AGROUND SIGN WITH ELECTRICAL,18'HIGH
DETAILED DESCRIPTION`OF WORK:
NEW CONSTRUCTION OF A GROUND SIGN WITH ELECTRICAL,18'HIGH.
PER LICENSE AGREEMENT 20'EAST OF THE DRIVEWAY IN THE ROW OF SLC.SIGN FOR"ISLAMORADA BEER COMPANY".
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
x Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
_OWNER/LESSEE: CONTRACTOR:
Name STB OUTDOORS LLC Name: Christopher Terentine
Address: 3200 ST LUCIE BLVD Company: SCP Construction&Development LLC
City: FORT PEIRCE State:FL Address: 100 SW Albany Ave
Zip Code: 34946 Fax: City: Stuart State: FL
Phone No. 772-403-3752 E- Zip Code: 34994 Fax:
Mail: nikschroth@naisouthcoast.com Phone No 772-530-1022
Fill in fee simple Title Holder on next page(if different E-Mail permitting _scpconstruct.com
from the Owner listed above) State or County License CGC1530236/32490
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 MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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.
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 lender or an attorney before commencing work or recording our Notice of Commencement.
gign�akContractor-or-Owner Builder as applicable
STATE OF FLO I •
COUNTY OF 1 Ih III
Swor to or affi )a d subscriked bef me Phy ical Pr a or Online Notarization
this day of 2=y
Name of person making statement.
Personally Known *)� OR Produced Identification
Type of Identification Produced
JIL�
(Signature of Not try Public-State of FloridL%_
Notary Public State of Florida
Deborah L Pappalardo
MyCommissionGG357536Commission No. (Seal) Expires 07122/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 1 1
I,I
_ Planning& Development Services
Building & Code Regulations Division
• 2300 Virginia Ave.
+ Fort Pierce,FL 34982
(772)462-1553 Fax 462-1578
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.
• 2/7/2022
Date: -
e. 1704 0349
Permit Number.
Site Address: 3200 ST Lucie Blvd Fort Pierce, FL 34946
CBT Cinstruction&Development INC State License CGC1 513423 SLC License
Original General Contractor(or Subcontractor)
SCP Construction and Development LLC State License CGC1530236 SLC License 32490
New General Contractor(or Subcontractor)
Reason for Change
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
pe permit cannot be cancelled if work has been performed.
S RE OF OWNER (or owner/builder) SIG RE NEW GEEcNEERLRAL CONTRACTOR �p
PRINT NAME JVQ sa raw PRINT NAMEd_J01 � , 1 r �(•I �.
State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
following jtrummeent was acknowledged before a this t The following instrument was acknowledged before me this ���,U/ ✓k
�day of�r<./�,20 by44 7 day of February ZO ZZ,by n to
who is personally know to me who is personally k�w to me
�� . �
or who has prod as ID. or who has oduce a Ila� A�
Signature of Notary DateAlct?iv Signature of Notary Date II
*Only sig eMiy1ft Lc�t o1�13 ge of subcontrac or Notary Public State of Florida
t✓eborah L Pappalardo Deborah L Pappalardo
Revised 07/ / .,g` V My Commission GG 357536 My Commission GG 357536
OF
Expires 07/22/2023 Expires 07/22/2023
�c,a�
PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
~µ - Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
JA� Inc.dba Applebee Electric have agreed to be
(Company Name/Individual Name)
the Electric Sub-contractor for SCP Construction and Development LLC
(Type of Trade) (Primary Contractor)
For the project located at 3200 ST Lucie Blvd, Fort Pierce 34946 1428-702-1492-000-4
(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-contractor notice.
k- 41YTOR SIGNATURE(Qualifier) Zhn,21pplebee
COCTOR SIGNATUR ( oliGcr)
Christopher Trentine
PRINT NAME PRINT NAME
CGC1530236/32490 19055/EC0002956
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Martin State of Florida,County of St. Lucie
going instrument was signed before me this day of • The foregoing instrument was signed before me this 08th day of
,JLW&L AL At
ZA February .2022,by John M.Applebee
14 30,ss•ho is personally known�or has produced a who is personally known V or has produced a
as identification. as identification.A!!c _
STAMP Wes( -���R��� STAMP
Signature of Notary Pub is Signatilre of Notary Public
Melissa Parramore Commission HH 161679
Print Print Name of Notary Public
:°�� Ceborati L Pappalardo
My t:ommission GG 357534
�a*� Expires 07►27J2023 ..
►� e,.`••.. MELISSA PARRAMORE
Notary Public State of Florida
Commission a HH 161679
Revised 11/16/1016 my Comm.Expires Aug 5,2025
Bonded through National Notary Assn.