HomeMy WebLinkAboutMisc Letters Planning&Development Services RECEIVED
4 Building&Code Regulations Division.
p 2344 Virginia,Ave. JUN7 ��'
Fort'P.ierce,FL 34982
(772)462-1553 Fax 462-1578 Permitting Department
CHANGE OF CONTRACTOR
St. Lucie County, FL
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed by the property owner, and the new contractor of record for the
current permit. A new permit applicltiori must also be completed with. new contractor information,
signature, and transfer fee. A new Notice of Commencement must be filed in the..new contractor's
name for job values greater than $2,500 ($7,500 if A/C Change=oat); A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be cornpleted-by the general
contractor. Absent extenuating_ circumstances, a cancellation of permit is to"be executed by both the
owner and qualifier of record.
II ..
Date: Ick Permit Number: L4
Site Address.
` f
Icense,0AC 1&15 q�6 SLC License
Original General Contractor(or Subt&traetor)
State License LC License
New General"Contractor(or.Subconiractor)
Reason.for Change -Cr•.S
The undersigned does hereby agree to indemnify and.hold harmless St.Lucie County,its officers,
agents,and errrployees from all costs,fees,or darriages arising fz q aYrd-a1 claims of action for
any reason,which may arise'as a result of'this change of contra for/subcontractor o cancellation of
2A A permit.cannot Toe°cance11 if work has been' erf
IGNATURE OF OWNER (or owner/builder) *SIGNATURE OrNEW GENERAL CiaNTRACTOR
PRINT NAME Doo 7•r'1I Y&nd(A, PRINT NAM$ l 011�__5_ - '
State of Florida,,Coitnty.of St..Lucie Counfy State of Florida,County of St.Lucie.County
"Che following instrument was adolowledged before me this '17tefollowing'ins``truuSentAvas.acknowledged before me this
day of 20_,by day of JC.t� 7�20_L
Who is scmail}kngvr to' eo is !n_�w o mo
o who has produced as ID. or who asp iced as ID,
' Sig nature of.Notary Date Signsture of Notary Date
*only signature required for change of subcontractor
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e 07!21 �R��"li"� ��s NtCt11@ McMahon col@ McMahon Commission # FRV87
Commission 1 0945187
Six: Expires:November 19,2019_ Expires;N4vemher 15:2419
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