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Home My WebLink AboutChange of Contractor 0 R E C EPLANI�ING & DEVELOPMENT SERVICES PhQ1 ~- BUILDING & ZONING DIVISION 2300 VIRGINIA AVE -111 Nwdio" FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR,SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASZLECT 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. 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: 7/18/2016 Permit Number: 1605-0574 Site Address: Cl/ hA, Foo eIIP)—Gp, ALPHA SOUTH CONSTRUCTION, INC State License CCC1325668 SLC License Original GC,subcontractor or owner/builder SPECTRUM RENOVATIONS,LLC State License CCC1327978 SLC License New GC,subcontractor Reason for Cancellation CONTRACTOR STOPPED SHOWING UP TO JOB. 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 nnot be cancelled if work has been performed. SIGNATURE OF OWNER(or owner/builder) SIGNATURE GgiTGRAL CONTRACTOR(or new GC,as applicable) 1-7 - \', �, EZZARD C MATUTE PRINT NAME I �� t� 1 t 5 PRINT NAME State of Florida,County of St.Lucie County State of Florida;County of St.Lucie County The following L'ustrument was acknowledged b�efor me this Th following instri e t was acknowledged before me this lz'so 20 ,,by /V � day of -E2J; ,204bwho ispersonally known to me 1�i�i 1'�+�" o is personally known to r w o has prod ed as ID. me or ro ced as ID. �• I(� . s g Ce of Notary TERRKL EN USE Notary Public,Sat 2512017 ida . My CommExp. y Revised 09/15/16 tyD FF40033 .iatiomCa �i{�•,_ ��Q DE LEON FL Notary Discoa ;� -�,% MY COMMISSION N FF951214 EXPIRES January/a.2020 Ul:�l�flb-0'D� ilonO�No� Servke.car /ldk tl,tl . JULur.� s ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/18/2016 Permit Number: 1605-0574 �i 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 PERMIT APPLICATION FOR: Roof PROPOSED,IiUIPROVEMENTLOCATIO Address: 1810 CODY LN FT PIERCE, FL Legal Description: COUNTRY LIVING ESTATES S/D BLK ALOT 5(1.72 AC)(OR 1729-1809: 3744-618) Property Tax ID#: 2305-500-0005-000-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION'OF WORK III CHANGE OF CONTRACTOR III TEAR OFF AND REPLACE SHEATHING WITH 5/8" CDX AS NECESSARY- RE-ROOF FIBERGLASS SHINGLES 4000 SQ. FT. 4/12P-&-F-LAT-@EC-K-409-S-Q-F eE)iftE-D`rO - CONSTRUCTION 11\1FMATION`!, Additional work to be performed under this permit-check all apply: HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors Electric ❑ Plumbing Sprinklers I Generator W1 Roof Total Sq. Ft of Construction: `'Jdd0 54 ,tP,4- S . Ft.of First Floor: Cost of Construction: $ a,�00',,an Utilities:In Sewer[]Septic Building Height: ;C6 OWNER/LESSEE , CONTRACTOR: Name ...et2GQi1 GI �AV � � . . p � � Name: EZZARD C MATUTE Address: (9(0 Coh I'll,, Company: SPECTRUM RENOVATIONS, LLC City: F-Or4- Foe, Statej-&, Address: 6686 TRAVELER RD Zip Code: �4(W 4r. Fax: City: WEST PALM BEACH State:FL 561-370-7019 Phone No. 0 ti 17Q,3 iJ Zip Code: 33411 Fax: r. E-Mail: �"�(�u�1 C lite Q� /►fie . cm Phone No. 561-291-8350 Fill in fee simple Title Holder on next page(if different E-Mail: CHRIS@SPECTRUM-RENOVATIONS.COM from the Owner listed above) State or County License: CCC1327978 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 5l1PPLEIVIENTAL CC7NSTRUCTfON 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: 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 thepermit 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 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. S _Signature of Owner/Lessee/Agent Signature of actor/License Holder STATE COUNTY OF ORIDA� �1fPsC�P, STATE OF FLCOUNTY OF ORIDA WYK &WC14 The for oing instrume¢t was acknowledged before me The forgoing instrument was acknowledged before me . this day oA 20 1Lby this K day of V)\1 20 ]_�_by (Name of persona dggiing) (Name of pers cknowledging) (S gnature otary Public-State of Florida) (Signat e - da Ponall OR Produced Identification < , ersonally KnownOR Produced Identification Type ntification Produced -Ty—pe of Identification Produced TERRI-EftEN WISE. Commission No. LI0033 Notarryy-�Pub State of Florida Commission No. – 1 a- (Seal) My CoFrlPtf�. �xp.July 25,2017 No. FF 40033 :"s cd. MONO DE LEON '�: •'3 my COMMISSION#FF951214 Revised 07/15/2014 '•„...l, EXPIRES January 18.2020 IN:/115&q'01 FYxdnlioa Setrice.tar REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS