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HomeMy WebLinkAboutChange of Contractor (2) 330�SJa PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION a � 2300 VIRGINIA AVE - _ FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT 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 ($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: 1/18/17 Permit Number: SLC 1608-0433/695 Site Address•%��-� l I � Eric Nerenberg State License CFC056891 SLC License Original GC,subcontractor or owner/builder Allen Steinman State License CFC057026 SLC License New GC,subcontractor Reason for Cancellation Reason for"Change of Contractor is Eric Nerenberg is no longer a Qualifier at Service America 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/subcJonactor o cancellation of permit.A permit cannot be cancelled if work has been performed. J SIGNATU F R(or owner builder I -SIG RE"GENERAL CONTRACTOR(or new GC,as applicable) PRINT NAME 49_c,�._ 01g1V S0 N PRINT NAME Allen Steinman State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County The following ins ment was acknowledged before me this a following in ment was acknowledged before me this �0day of�/ 20�,by day of "ire 20 by V who is personally known to me who is personally known to or who has pr d'-ptd as ID. me or who hasp od c_8 as ID. / i — '3v - �. fes' o - 17 Sig'aturg 91`Notary Date Sign re of Mary Date Revi 16 pE,EL,L .o�► °� �:.WAYNE MORRISI CA1Vt . PSB;. o v'= WAYNE MORRIS CAMPBELL +€ +s MY COMMISSION#FF132553 _+€ MY COMMISSION#FF132553 '" °f' EXPIRES June 15,2018 .. o'= = ;rirr.. __•', 'oF d!J•' EXPIRES June 15,2018 FloriAallotaryService.eom (407)398.0153 FloridallotaryService.com 3-7(0 WO ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: SLC 1608-0433/695 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PRO POSED,-IIVIP,ROVEMENT LOCATION: Address: 8024 KIAWAH TRCE Legal Description: POD 25 AT THE RESERVE LOT 16 (OR 3670-969) Property Tax ID#: 3327-705-0017-000-9 Lot No.16 Site Plan Name: Block No. Project Name: Marcus J Johnson Setbacks Front Back: Right Side: Left Side: DETAILED btIPTIol`Nb'F WORK., Replace 50 Gallon Elect Water Heater ' [:tO��$TR0C'T*I0_­N­I NFORMATION ' Additional work toe e orme under this permit—check a appy: E]HVAC F] Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑✓ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ Utilities:Sewer❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Marcus J Johnson Name: Allen Steinman Address:8024 KIAWAH TERR Company: Service America City: PORT ST LUCIE State: C(_ Address: 2755 NW 63rd Ct Zip Code: 34986 - Fax: City: Fort Lauderdale State.FL Phone No.772-467-0986 Zip Code: 33309 Fax: E-Mail:marcusj.johnson@yahoo.com Phone No. 954-979-1100 Fill in fee simple Title Holder on next page(if different E-Mail: epermitsgroup@serviceamerica.com from the Owner listed above) State or County License: CFC057026 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. r 4 " SUPPLEMENTAL`°CONSTRUCTION L(E'N LAW INFORMATION: .. '. F 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. f t s CSignatur -of-O ` es /Contractor as Agent for Owner i :e e f'Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 �by this day ofL�t 20 by P"►� U� v1i►1�'I1� (Na erson act'wl -r— _A�enda Montes (Name of person acknowledg Og R_ti P� Amanda montes ^�� '�. otary Public-State of FVori { - � -NolaryPub�$tateotFlo►id® _�_..-- •---ConlnTjssibh#GG33871 _ Commission GG 33871 Expires 9127/2020 � . o Exp.gyres 912712020 � -_. (Signature of Notary P (Signature of Notary Public-S ate Personally Known OR Produced Identification Personally Known R Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:8024 KIAWAH TERR Parcel ID:3327-705-0017-000-9 Sec/Town/Range:33/36S/39E Account#: 138287 Map ID:33/33N Use Type:0100 Zoning:PUD Jurisdiction:Saint Lucie County Ownership ' Marcus J Johnson Constance M Johnson 8024 Kiawah TRCE Port St Lucie,FL 34986 � Legal Description ~ " POD 25 AT THE RESERVE LOT 16(OR 3670-969) Current Values Just/Market Value: $453,200 Assessed Value: $434,943 Exemptions: $50,000 Taxable Value: $384,943 Total Areas Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel:Download PDF 12 Finished/Under Air(SF): 3,910 Gross Area(SF): 5,174 Land Size(acres): 0.37 Land Size(SF): 15,989 This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2017 Saint Lucie County Property Appraiser.All rights reserved. http://www.paslc.org/RECard/ 1/17/2017