HomeMy WebLinkAboutCancellation of Permit PLANNING & DEVELOPMENT"SERVICES
BUILDING &ZONING DIVISION
ON
2300 VIRGINIA.AVE
4 r FORT PIERCE, FL 34982
(772)462-1553 FAX 462-•1578
CHANGE OF CONTRACTOR,SUBCONTRACTOR OR CANCELLATION OF PERMT
P .ECT ONE OF THE FOLLOWING, A/ /t�,�,(��:�%t,� t�/.•��'Y' ��-' ,
CHANGE OF CONTRACTOR—Change of Contractor is to besighed and notarized by the property owner.
and the new contractor of record for the current perinit. A nein permit application must also be completed with new
contractor iinfortnation and signature. A new Notice of Commencement mast be filed. in the new contractor's name
for job values grater than $2,500 ($7>500 if A/C Change-out). A recorded copy most 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 he completed by the general contractor.
The new subcontrackor must fill out a Subcontractor Agreement Form.There is a$50.00 fee for the Change of Sub-
Contractor.
tea,® CANCELLATION OF PERMIT—The cancellation of a permit is acceptabte 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: 8118117 Permit Number: 1708-0016
Site Address: 8023 Spendthrift(_ane,Fort Saint Lucie,FL 34986
Air Temp Air Conditioning State;License CAC1814837 SLC License 27535
Original GC,subcontractor or ownerlbuilder
State License SLC License
New GC,subcontractor
Reason for Cancellation _Not.Financially Ready Yet
T'fat;Itadersigned noes hereby agree to indemnify and hold harmless St Lucie County;its officers,agents and employees from all
costs,fees or daltiages arising from any and all cltiims of action for any reason,which may arise as a result of this change of
"`otni+r 3Ctar�sutscantt°actor or cancellation of permit.A permit cannot be cancelled if work has been performed:
51G'��fU'tl Or o\ N' (oromiarltuitcior} 5iC;NATtJtRE CzF �Ct3N"rR.4C"r(JR.(ttt new C C.as applicable)
413 r i "t Kelly Ce.tosimo,Contractor I'Rl\'1'NA�II K811y Cettosimo
State of murieL County or St.Lucie Cotunty State of riorida,County of St.Lucie County
rite t'alla+vin i (anent+v: m +vk6getf be !tris lauvtg' anent �ckt 1c�i or a(hi-.
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� Y `•8118117,.._._..._. 8118117 _ __.
igsature Nntnry Date Signature Notary Date .
P.evi s gY4d'a'��J'�rt CHERYL A.FINK .�+"Y n� cmEM A.FINK
+* o Notary ukt'fc State of Florida
Notary fuhtis State of Floridan` , :My Gomm.Expiras tmar28,2018
y, my calm.Expires mar 20,2018 *'
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