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HomeMy WebLinkAboutProperty Identification 10/08/2038 04:21 #1515 P. 001/001 PLANNING&DEVELOPMENT SERVICES BUILDING&ZONING DIVISION 2300 VIRGINIA AVE =EED FORT PIERCE,FL 34982(772)462-1553 FAX 462-1578 CHANGE OF CONTRACTO SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECT ONE QE THE FOLLOWING: CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized by the property owner, and the new contractor ofreeord for the current permit.A new permit application must also be completed with new. contractor information and signature. A new Notice of Commencement trust 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 a 550.00 fee for the Change of Contractor. CHANGE 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$50.00 fee for the Change of Sub- Contractor. CANCELLATION OF PERM—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: .1 Permit Number: 5 ( � 0aa('7 Site Address: { rl J _`t'.F' j �'�f L(. :_ c(L State License— r License Original GC,subcontractor o wner/buiider �T State License SLC License New GC,subcontractor Reason for Cancellation fYl ViAe,*(r YYLi The undersigned does hereby agree to indemnify and hold harmless St Lucie County,its officers,ager d employees frour►all costs,f_ees or damages ' ing from any and all claims of action for ,which may arise as a t of this change of co r/subcon t or cancellation of permit A permit cannot a if work bee ormed. r ST, ,F..OF or ow,dedbuilder) Si T[JRE G CTOR(or ew applicable) pR7NT NAME' r�0� ��C�!`E.�x� PRINTNAME .��`L t<© ��1 State of Florida,County of St Lucie County State of Florida,County of St Lucie County The following instrument was admowledged before me thus o owing ent was ackwAi qre me this v�.l .day ofa _ 20207,{ryCs��f 1bC. =day of'�20�by'F�Yl i r who is pmorally known to me who is personally known to haspmducadV as ID. ' llol.��°t0tf who roduc d as 1D. • s�. l�22 2 D S"tum of Notary Dateof e Dft0M gSSB r ArgM � NOTARY Pt1E3LIC My p, R m 2az'rets STAT(y OF FLORIDA Revised 04/15/16 GG3R3282 ; *Expires Calmi>#GG2659(i0 1011412022 aLtG•' P.��° FI.CQ`` °,° °�ee1//ll/lllta�