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Home My WebLink AboutChange Of Contractor -7 �— Planning&Development Services J� = �`� 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. L-.r Date: 5/11/16 Permit Number: �— o Site Address: 3100 N w Richard Manning Woodley State License CBCA17970 SLC License Original General Contractor(or Subcontractor) Scott Harala State License CGC1506052 SLC License New General Contractor(or Subcontractor) Reason for Change Richard Woodley left company 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. SIGNATURE OF OWNER (or owner/builder) *SIGNATURE OF NEW GENERAL CONTRACTOR il PRINT NAME S_-4 l 1,"., PRINT NAME Scott Harala State of Florida,County of St.Lucie County State of Florida,County of St.L ie, P , DENISE BROWN pmmi sion#FF 140607 1 The following instrument was acknowledged before me this The following instrument was ac 1 dtigf X�{}9yl vember 4,2018 5 day of May 20,6,by day of May 20 td" ((pp,.Fy� ?` Bonded'Thru Troy Fain Insurance 800 Scott Harala who is personally know to me Scott Haralr w i persona y know to me or who has produced as ID. or who has produced as ID. s Signature of Notar -'* k d'aQ emission#FF 140607 Signature of Notary Date Expires November 4 2018 •pFj,pF F„°°:�� Bonded Thru Troy Fain Insurance 800.385].7019 *Only sigma subcontractor Revised 07/21/14 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 970 _77 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERM ITAPPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 3100 NW Radcliffe Way Legal Description. Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida PropertyTax ID#: 4425-703-0024-000-9 Lot No.19 Site Plan Name: Riverbend Block No. Project Name. Riverbend Setbacks Front Back: Right Side: Left Side: 0 DETAILED DESCRIPTION OF,WORK: New Construction-SFR Change Of Quailifer CONSTRUCTION INFORMATION: Additional work to e e orme under this permit—check a apply: �HVAC Ei Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing 'E]Sprinklers Elenerator 17 Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ UtilitiesInSewer ZSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Standard Pacific of South Florida Name: Scott Harala Address:825 Coral Ridge Drive Company: Standard Pacific of South FI GP, Inc. City: Coral Springs State:FL Address: 825 Coral Ridge Drive Zip Code: 33071 Fax:954-434-8840 City: Coral Springs State:FL Phone No.954-232-2290 Zip Code: 33071 Fax: 954-434-8840 E-Mail:Permits@brownspermitting.com Phone No. 954-232-2290 Fill in fee simple Title Holder on next page(if different E-Mail: Permits 9browrispermitting.com from the Owner listed above) State or County License: CGC'1506052 If value of construction is$2500 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 is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsi'te 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. Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Broward COUNTY OF Broward The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me this 5 day of May 20"by this s day of May 20=by Scott Harala Scott Harala (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known X� OR Produced Identific Personally Known x OR Produced Identification Type of Identification Pr use r,�nilcr_u Type of Identification Produced --9F4 a: Commission#FF 140607 DENISE BRO al Commission No. °° Expir( b)tember4,2018 Commission No. ` '�a ) Bonded Thru Troy Fein Insurance 800385-7019 =N _ UOITimission#FF 140607 Expires November.4 2018 nro 1 roy Fafn Insurance 800-385-7019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW' REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED