HomeMy WebLinkAboutMisc Letters 2018-06-18 15:08 j.a.taylor roofing 772 46 8397 >> P 1/1
_:;�, PLANNING&DEVELOPMENT SERVICES
= - BUILDING&ZONING DIVISION
2300 VIRGINIA AVE
--- )WORT PIERCE, FL 349 82
(772) 462-1553 FAX 62-1578
CHANGE OF CONTRACTOR SURCONTRACTO OR CANCELLATION OF PERMT
PL$A�F SELECT ONE OF T14E FOLLOWIN„Q_
CHANGE OF CONTRACTOR—Change of Contractor iq 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 u$50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR—Subcontractor than es are to be completed by the general contractor,
The new subcontractor must fill out a Subcontractor Agreement Fo .There is s$50.00 fee fpr the Change of Sub-
Contractor.
_ACANCELLATION OF PERMIT—The cancellation of a p rmit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the o ncr and qualifier of record. There is no fee for
cancellation of the perlmit.
Date: 06/18/2018 Peri it Number: 1712.0281
Site Address: 10616 PINE NEEDLE DRIVE,FORT PIERCE
JA,TAYLOR ROOFING INC State Licen a 0001325885 SLC License
Original GC,subcontractor or owner/builder
State License SLC License
New GC,subcontractor
Reason for Cancellation NO WORK-WAS DONE,AGREED WITH HOMEOW ER TO CANCEL ROOFING PROJECT
The undersigned does hereby agree to indemnify and hold harmless St Lu ie County,its officers,agents and employees from All
costs,fees or damages arising from any and all claims of action for any re son,which mav_ap54s a result of this change of
contractor/subcontractor or cancellation of permit.A permit cannot be ca needed if a' ceri performed.
SIGNATURE OF OWNER(or owncr/builder) SIGNATOR GENERAL CONTRACTOR(or new CC,us upplicable)
PRINT NAME PR1NTNA E KYLE WHITE
State of Florida,County of St.Lucie County State of floc. a.County of St.Lucie County
The following instrument was acknowiedged before me this The followin instrument was acknowledged before me this
day of .20 by 'u'" dayo vuN y 20E by
Who is personally known to me who is aeaMoo }G1eaalDYo to
or who has produced as 10, me or who s produced as 10.
SignKtare(if Notary Date Signature NotASI
Revised 04/15/16
' �a: i4"rF 836050