HomeMy WebLinkAboutMisc Letters To: Page 1 of 2 2019-03-21 16:14:15(GMT) 17722647780 From: Maya Gifford
:.... ...::... . .....
PLANNING &DE B",S.sOPJ.VIE.NT SERVI:
REJ
2300 GT -A� MAFORS'P1ERG 9.n-14982(772) 462-1553 FAX 462-157 a6ie
CHANGE O CQNT ACTT S CONNTRAC O $`Al�� �,�AT'Ifl?�T �' �'
( PLEASE SELECT O1V E OF THE FOLLOWING:
CHANGE OF CONTRACTOR Change of Contractor is to.be.signed kind..notarized bar the property-owner',
and the new contractor of'reeord fat`the current permit. A new permit application must also be completed with new.
.contractor-information and signature. A new Notice of"C:otntriencentent must be fled in.the new conttactor's name
for Job values greater than $2,500 ($7,500 if A/C Change-out). to recorded copy must-be submitted prior to
commencing any work.There is.a$50-00 fee for the Change of Contractor.
�C AIG
OF'SUBCONTRACTORSubcontractor changes.are to be completed-by the general contractor.
The.neer-subcontracctor must.fill.out a Subcontractor AgreementForm.there is.a WIN fee for the Change of Sub-
Contrae#or.
A Ei:LATION OF PE. ...` he cancellation orf a peranit is.acceptable only if no walk l�es.Tseeu done.
Cancellation of-permit is.to be sigiaed.and notarized by both the..owner and.qualiFer of record. 't'here is hQ-fee for°
cancellation of the.pe>I wJt.
pate: . March 21,2010 Permit Number: .SLO 1902.0191
Site Add drew 8407:SP-Cobblestone Dr Fort Piers
Gary 3 Gifford State Licelase EC1.3041574 Si.G License
'Original GC,subcontractor or bwner/buil.der
State Licenw. . .... SLC llcense._
New�GC,subcontractor
Reasop..for Canc:elIatign Job CaMei.led
The undersigned does beret�y�agree to.i.'rdeinnify and:boId ha3�nle3s St:L-Uc]C:,Cptirity,:its�sffice s,agents anci:enipTayees,fzom.ail
costs,fees or damages aris.ulg from any-ar€d.all claims:of action for.any rson,cwhi.t h:may arise as a.xesult of this.ehane.of
conixactor/subcontrzictor or canoe tion of pernii3. .ie3 wait cAil . b+~eanc icti of vQrk:lias bee . 1PQraiaecl,
SIG?�.1TURt .. t)ett127/ ttlida r� . .�_ SI sCl ;4T17. EKE _.. I ACTOIt(or:nm GG,as kpfimble)
PAINT IiAtIF. Gan/J Gifford. l'RIY��1'NAIvi£ •.Garji•J Gifford
State ofBtot'id�,County of st,.I ucl;Count S.rat o FlariA C.t�ratrty of at LuCie�uu1y
!te following instrument was acknowledged before me thisT fottolvitt ttn tt.was tedge before rtae this
ca .dac'o�:
} is eraonail'k*sa. ntota tl.. �`�—. t .
�etatmaliyknovm '
Ot
is ID, L'�Ot 141t7.jk35 pF ced --n.ID
r4 rlokptature.of:~,'ntat'y JDate ,Sigeature iii'iVatsry'�.� Dqg,
..
b.;;:ata4 ci Ftaieia
Rev--Bed 04/15/16. I "SZvs&n G CaLlasgttillo aRYpa,. Np.fary ruFsr,;Sate Qt oat4a
;%,v4f My Chnmicsion GG 0..21,51Q ut: i1r �.
y p., Carr 0ff��' exp"s:es?0i2u'si�?6q Fq: t:iyGaf-ms:iart G=:d27St0