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HomeMy WebLinkAboutCancellation of Permit& DEVELOPMEN7f SERVICES G & ZONING DIN ISION 2300 1 TRGENIA AVE FORT PIERCE, FL 34982 (772) 62-1553 FAX 462-1578 U CHANGE OF CONTRACTOR -- and the new contractor of record for the curt contractor information and signature. A nev for job values greater than $2,500 ($7,54 commencing any work. There is a $50.00 f CHANGE OF SUBCONTRACTO The new subcontractor must fill out a Subcc 11 `,hange of Contractor is to be sued and notarized by the property owner, nt perrn.F,t. A, new permit application must also be completed Urth new Notice of Commencement must be filed in the new contractor's name if A/C Change -out). A recorded copy must be submitted prior to for the Change of Contractor. -- Subcontractor changes are to be completed by the general contractor. tractor Agreement Form. There is a 550.010 fee for the Change of Sub - Contractor. — CANCELLATION OF PERK T — The cancellation of a permit is acceptable only if no work has been done. Cancellation of permit is to be sued and notarized by both the owner and qualifier of record. There is no fee for cancellation of the permit. Date: 05113/2020 Site Address: 356 E Midway Rd/Fort Pierce, FL T reesure Coast C3ener3i Contractors, LLC Origiaial GC, subcontractor or New GC, subcontractor Reason for Cancellation Health Department R(§quirerrients Perri -it Number: 2003-0520 License CGC1526542 SLC License License SLC License---- The icense___ The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officets, agents and employees Bram all costs, fees or damages arising from any and all claims of actia n for any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of permit. A permit cannot be eanc ed 'f w©rk has -n p rformed. ST(NA-nJR 1~ ovl xfi (o wnerlbuilder) SiGNAT Al (TK-ii:RAL CONTACTOR for new CSC, as applicable) PRINT k;: - State of l:lorida, County of St.. Lucie Caumy The SoUowing instrument was ac1m(nale,iged before me this 130' day of. May 20 2" , by —Jl- fr Tw+o is pmottaily krimm to or s rced ci as 33).. 05[1312020 Signature of Notary wt. Revised 04133' Wft Notary Public State of Colleen sus Mayes p� My Commission GG 2 prntl' Expires 03/15/2023 PRiJTNAMB E evin Wheaton Stale of Florida, County o; St_ Lucie Cour.+ The foUov; ing insm=ien.t was acknowledged bdore rue this w[ o is prrsonaly known, to rre produced p'- as1). t35MW2020 Sigrivur•e of NNOWN date 04AY � Notary Putdic State of Florida r Colleen Sue Hayes r My Commnswn GG 287729 'dta n Expir 03!15!2023