HomeMy WebLinkAboutChange of ContractorCOUNTY
F L O R I D A''
,Planning:''&iDevelopinent Se{;vlces'
Buiidin & Code Regplation"s Division:
?300 Vtrgirfia Ave.
FortMire e,T 34982,___
(772)462 1553 ;Fax 462-I578
C13A1 iljt6i CQNTRACT0*
MAY 0 q ?C:p
S_. Lucie County, Permitting
:Or Subcoritracf"or or--Caiie lti it bf Perinit
Change of Coritractor isito`pe completed by the property owner, an`d the new con, tractor of record fol
current permit:. A new,permit;apphcatlonmust.,also`be.completed.withsnew contractor informal
signature, and transfer fee A'new'Notice. of Commencemelit::must be'frled in tile. new contract
name for joti valuc es greater "than $2,500::($7,500 if AlA/C Change ou`t). A rorded copy mus
submitted prior'to ;commencing'any work. iSubconftotor changes can be compl"eted byahe ger
contractor Absent extenuating"circumstances; a'caneella$on, of permit;i's to;b'e'execufed;by`botF
owner and qualifier of -record.
batci 151412626,
9630 Knollwood Lane
Permit Number: 2004-004_
i
Gf26K GHQ Homes;LLC State License.C6C051,145 _ 'SLC License:
Original General Contractiir,(or Subcoritracfot•}.� —` "' -'
State License.. SLC_ License _. _ Ip
Ne�y General Contractor (or Stibcontracfor),
Reason for_Change CANCEL PERMIT
Theundersigned does hereby agree to mdeinnify an'd'hold harmless St',Eucie County, its_officers,.
agents; and'employees,f;om all costs, fees;or damagesansmg fro'mJany:and.all claims of action,ftrj
S[GNATU F0 o _er/ uilder) -"' •SioNATURE OPNE\Y GENERAL C6NTRACTOR
PRINT NAME (GMPRINT
StatcofFfaridq.Coidtty ..SL Lucie ICounty State6fhon6a; CountyofSt LucieCoonty;
the to irtciiumcnt was acknowledged6eforc me this 'fhefollowmg iniuumaoi wasacknowtulgcd,bcfom me this
ny of 20 :by U)I 1 &jr _day of by
,�p/% ' p -:who is personall know tonic '4 �(o/ -who is �ersonn w io me ". - -- .. -
;o- o.has - as.ID.e 'ar who has produced _. as!IDr
Siva[ o a 'Date r� %TO20' Signature oL�`otary Date - - -
'./=
0
*only sighatb&a required for change of,subcontractor'
aeviSea `o`iZ2i rn RebeecaDlltta..
? Commisston i G60, 202i
," expl^s Januaiy-3, 2021
BoMed 9b Aaroallotaly
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