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PLANK NG &IIEVEL®I'T E .SE VICES
BUILDING &.ZONING D BION
2300 VIRGINIA.AVE
FORT PIERCT, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE OFCQa'1'ltrlC"I'C.AR SLJi34'C)1°vr'1'Rr�C;1(�R OR CA^1�t�ELLATI�)Pd ®�'PERNdT
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C' GE}OF��I�I�Ii��C'Tf)1:.._ Change of Contractor is to be signed and notarized by with new
aii €the'ne tracerord�forthe current ennit. -iew ermit aPP
lication must also be completed
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contractor to firma ton ani srgnatz re`A rhey�'Notice of C'ommenceme t must be filed the
be, submitted contractor's
obraluesater Yzz 2 500 A recorded COPY
> > (A7>�90 if ASC Change out)
oonvnez�czng� nq woxkhee a ASO"QOfee foY thehaa a of C®ntractor
g ed b the general contractor on1Y.
� $ OI" � I, CR` Subco� rator cxanges aze to be sign Y b both the contractor and
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fi out i o actor Agr emen,
subcontractor�Tltere�.s ;{ UOO Iee#oa�r�Chab�a ofulbCoiafracor
k 3 work has been done.
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