HomeMy WebLinkAboutMisc Letters 0612912020 10;14 (FAX) P,001/001
06/29/2070 10:12 7724626443 SLC INSPECTIONS PAGF 01/01
PLANNING &DEVELOPMENT SERVICES
' BUILDING & ZONING DIVISXON
' 2340 VIRGINIA,AVE
- - FORT PIERCE,TL 34982
(772) 462•-1553 FAX 4162-1378
MANGE OF CONTR AC ' R, IMCONT1RPlC0 „OR CANOE aL i�N OF P 1Z1WiT
PLEASE SE-4EQ1 ONE OF THE PMOEING:
CHANGE OF CONTRACTOR—Change of Contractor is to be signed and.notarized by the propeM owner,
and the new contractor of record for the current permit.A new permit application trust also be completed with new
contractor information and signature. A-new Notice of Commencement rnwt be filed in the new contractor's name
for jobvalues greater than $2,500 ($7,500 if A/C Chanp-out). A recorded copy must be submitted prior to
cor mencing any work.;'There is a$50.00 foe for the Change of Contractor.
CHANGE dF SUBCONTRACTOR—Subcontractor ch„artges are to be eornplet;ed-by the general contractor.
The new subcontractor inttst fill out a Subcontractor Agrcerncrlt Form. There is a$50.00 fee for the Change of Sub
o rector.
CANCELLATION OF PER1YfIT—The cancellation of a permit is acceptable only if no work has been done,
Cance ation of permit is to be signed and notarized by both the ownor and qualifier of record,There is no fee for
cancellation of the peiritnit.
Ll 7
bate: Permit Numbetr:
Site Address: �`1 ,�vWSr�"'1- SLMO 0AiQ _fL
State.License SLC License.
riginal GC,subcontract owner/builder
State License SLC I icense __
�w GC,subcontractor;IV
AJ-1Reawn for Cancel anon.
The undersigned d s herebyagree tq indemnify and hold harmless St Lucie County,its officers,agents and employees from all
costs,fees or dame arising from any and all claims of action for any rt:mon,which may arise as a result afthis change of
contractor/subcontr r r ceneeilation of,permit.A,permit cannot he eA>9celled if work has been pci*rrlted.
I
SIGNATUU.OF OWNER( wner/buildcr) 5iGNATuRe oENsRAL CONTRACTox(or new OC,w appiioahie)
PAL X NT NAM ,J A Vrlfil ��l V U.0 PRINT NAME
S=of Florida,County 4f St Y ucic�n 1,54�by �Q� State of l lorida,CountCountycf St.Lucie County
The llowing ins ent �o�,� The Fallowing inwumwgMt atItnowledgcd bafarc ma this
a` day o J U1102 door af_,20—by_
C Ykno me who in pernonaliy known to
+uhv 8 praluCed G m, ( o me or who has produce,,---__,.,_„—as tla,
RnwtnreorL`lofary YIAt ii SignatureofNot"T bate
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