HomeMy WebLinkAboutMisc Letters 03/26/2019 2:40 PH FAX 7724663765 APPLEBEE ELECTRIC 0002/0002
PLANNING&DEVELOPMENT SERVICES
BUILDING& ZONING DIVISION RECEIVED
COU NTY 2300 VIRGWIA AVE
F L 0 R I D A "AW
FORT PIERCE, FL 34982 MAR 2 7 2019
(772) 462-1553 FAX 462-1578
I ST..Lucie County, Permitting
CHANGE OECONTR&CTOR.SLJBCONTUC_TORORCANCELLATION OFPE_MT
PLEASE SELECT ONE OF-TffF.FOLLOW[hLCT:
CHANGE OF CONTRACTOR—Change of Contractor is 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 07,500 if A/C Change-out). A recorded copy must be submitted prior to
commencing any work.There is a$50.00 fee for the Change of Contractor.
CHANGF,OF SUBCONTRACTOR—Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form.There is a 550.00 fee for the Change of Sub-
Contractor.
19 CANCELLATION OF PERMIT—The cancellation of a permit is acceptable 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. 03/26/2019 Permit Number: 1901.0359
Site Address: X 7$69 COMMERCIAL CIRCLE
JAK,Inc.dbe Applabee Electrio '_State License�E000029515 SLC License 19055
Original()C,Subcontractor or ownerlbuilder
NIA State License SLC License —
New GC,subcontractor
Reason for Cancellation Customer canceled project.No work started.
The undersigned does hereby agree to indemnify and hold harmless St Lucie County,its officers,agents and employees from all
costs,f s or damages arising from any and all claims of action for any reason,which may arise as a result of this change of
con r/subcontractor cancellation of permit.A permit can e neelled if work h been performd.
a
' A Ad
siAAAYWd.F—oF0WNbt-(�rownerlbufldcr) 11&Al'IUJ -r-ElNFRZAL!CONTRACTO'PTornew as applicable)
PRI19T NAME R1ftrdThoma$ John M.Applebee
State of Florida,County of St Lucie County State of Florida,County of St,Lucie County
The following instrument was acknowrlodged before me this The following instrument was acknowledged before me this
26th day ot-Y!Eh 20_1
_20 19 by !n—day of-M" 11 by
Richard Thornas ho is 13Monally known to me John M.Applebe!--who is 2211&known to
or wh7AasRrocluccd------------as ID, me or produced_as 110,
0326/2019
03!26!2019
Signature of Notary Date Signature of Notary Date
ME=RA;08E
MEL'155APARRAWRE
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Notary public-state Of Florida Notary Public-State of Flolida
Commission 4 GG 12690
MyComm.Expires Jul 23,2021 Commissiom I GG 126M
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3!20 21
My Comm Expires Jul 23,2021
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1 1 '4"' BordodthroughMatlaratNapryAssn
Revised 04/15/16