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HomeMy WebLinkAboutProject Information ��� Plannvng&Development Services ;' Building&Code{regulah. ons}Di�►tslon f z3ou vixg �v� RECEIVED a Furl fierce,FIA4982 - l (772)462-1553 Fa462-]378 MAR 15 2019 Csr. Ducie county, Permitting_. Or Subcontractor or Cancellation of PexmYt f 1 - _ ✓ . f' Change of'Contracfor is to be completed yr, the property owner,aid t1ie,:new contractor of recotd for the_' ,c.went,perimit, A ne -Epermrt; application must`also be completed�wtth new contractor it�formatiori,a signature,and transfer fee Aknew Noiace of Commencement triust be filed`n'the new_contracr's name for,job values greater than $x;500 ($7;50Q6 if ALC rChangeu} A;recorded 3cap lnnst be' ' sutimtted priorato commencing any work Subcontractor changes can bet completed,by the general:; . A_ contractor". Absent extenuatu%g.ctrcistances„a cancellation'of,peririit is.to- be-executed:"ly both the ' owner and qual fier _r"ecord: •J - .f I'ermrt Number. Site:Addressr �` 15 State T.icetis license OnguiA Gen Contraefo ( u ) _ -_ l_ z or S_bcanttactar f � 4 - :- _,:_ -:-. . ,�,-•:, _ State license. _ - -SLC'`Liceiase ;' New General Contractor or Subcontractor 't '"� r� r, Reason for Change' 4; 7 The�underaigned does herebyagree to ndemnlfy and hold}armless St Lucie County,`its officers,r ageris;and employeesfram`ai costs,fees;or damafge�ansng fxom�any`and allklauna;of actton f'or.,' yany ieasanwluel may arise as"a resulto t'iiiikichange of e,ontraetor/subcontractor or cancellation of' _a ermit. A; 'ermrt cannot be caneeflo:4 f work bas beensperfarmed GtIATURI'0111dAmle,(orowl erllzUilder) - ;*SIGNATURE'OF-NEW GFNERALCONTRACTOR - - 1 r , PRINT NAME stdteofFlondu�CountyofSi Luci©Capnty,• State;ofFIonda,,CountywofSklucurounty - - r lhe f0gowifig,wstcnment was aclaiawledged liefore me ius: The following mstniment was`aclmowledged before mo t rii ayof�� 2t1 ,byd7� yof °� by' Gf _ 4 j vyfio Onal Ute. "1glh- Si torNo Date s gnatart' Igoet et Uq f NoM Date'. •*On1y sgna�.ure required•- •fob change hof fsu}7cdntractor'' , Aev' sed.071-21114,, tppY *Mil WM�dISSION#�898018 " -3NO' .�e EXPfAES July'12,2018 f ; �!�oedLdr°T- BmOidTluu&dgetNduySenJca;