HomeMy WebLinkAboutVoid Permit bar lo,d h P
Sflucic Co,
Or,
Planning Sk DevelopneeW Services J
'-1. Ilttilding& Code Re);nhtlions 1)ivigion
2300 Virltinin Avc.
Fort Pierce,1q,349112
(772)462-1553 Fort 462-1578
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed 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,
signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's
malde for ,fob values greater than $2,500 ($7,500 if A/C Change-out). A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed by the general
contractor- Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owacr and qualifier of record.
4
Date: 06/19/20
Permit Number: 1810-0585
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Site Address: 6108 DELEON AVE,FT:PIERCE,FL 34951
KRITAGE CONTRACTING SERVICES,INC,PAUL KUHN State LicenseCGC1507158 SLC License
066141 General Contractor(or Subcontractor)
OW PERMIT,NO NEW CONTRACTOR) State License SLC License
RM Cameral Contractor(or Subcontractor)
tCW Change NO WORK BEGAN,CUSTOMER NEVER PAID,PLEASE VOID ti REFUND
undersigned does hereby agree to indemnify and hold harmless St. Lucie County,its officers,
agents,and employees from all costs,fees,or damages arising from any and all claims of action for
zany reason,which may arise as a result of this change of contractor/subcontractor or cancellation of
Pemit. A permit cannot be cancelled if work has been performed.
i'si ;UM3I1i OF (or ownedbudder) ONANRE OF NEW GENERAL Cozz—
R
PRINT NAME GL✓,4 to(�/� PRINT
State of Planta.Cwmty of si.Lucie('-aunty slate oC Florida,Co of st. cie County
The 1owmg ins t was ur nowtedged befam me this The following instrument ,acknowledged before me this
dsyof 11UIlei .20.,by - -- dayoC ,by
who is personally know to me who is nalUr know to me
m � �� - !D• or who has uced__ as
S1g=tV1,dNAM Date
gnature of Notary Date
*Only signature required for change of subcontractor
Revised 07/21/14 ®LENDAJ.ROBINSON
NOTARY PU91LIC
STATE OF FLORIDA s'
gxpIPSQ i1/7�!�9,�9 �.