HomeMy WebLinkAboutChange of contractorPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
CHANGE OF CONTRACTOR
RECEIVED
MAR IS 2020
ST. Lucie County, Permitting
Or Subcontractor or Cancellation of Permit
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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
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. Subcontractor changes can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Date: 9/9/2020 Permit Number: 1904-0354
Site Address: 2414 N 53rd street Fort Pierce FL
,A T'M LOR- 'kWV I INi - State License SLC License
Original CagiLIra! Contractor (or Subcontractorl
�, (\C- State License% L C License
New 6e�Contractor(or Subcontractor)
Reason for Change
I r� I-PAI W
The 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 a and all claims of action for
any reason, which may arise as a result of this change of contract ubcontractor or cancellation of
permit. A permit cannot be cancelled if work has been perforinpil.
SIGNATURE OF OWNER (or owner/builder)
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State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
_day of 20� by
who is personally know to me
or who has produced as ID.
Signature of Notary Date
*Only signature required for change of
Revised 07/21/14
State of Florida, County of St. Lucie County
The following instrument was acknowledged before men this
nn
day of �/�]Q�, 20a0 by /V iCPW
to me
Date 0//01 /aD
•'pa'ir'••.,, CASEY FRENCH Y
Notary Public —Slate of Florida '
�' • ° Commission # GG 1672bB
^� 'My Comm. Expires Dec 11, 2021 y
�:.::�%'• Bonded lhmugh Na4000l Nola yAm a, Y
PERMIT# 1904.0354 ISSUE DATE 10/3/19
PLANNING & DEVELOPMENT SERVIC
Building & Code Compliance Division
BUILDING PERMIT MAR 13 2020
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
have agreed to be
Name)
the Roofing
(Type of Trade)
Sub -contractor for Michael Waldrop
(Primary Contractor)
For the project located at 2414 N 53rd street fort pierce FL
(Project Street Address or Property Tax ID #)
It is understood that, if there is .any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a ange of Sub -contractor notice.
.� Nn) YC� J v A�H A N%
CTOR URE (Qual fi r) SUB -CONTRACTOR SIGNATURE (Qualifier)
CGC151191D
COUNTY CERTIFICATION NUMBER o
State of Florida, County of
The foregoing instrument
%%was signed before me this) day of 1/
ly
who is personally known r has produced a
I "�- STAMP
S ature of Notary uhac _
�\ pY PVer KIM KEAHEY
Notary Public - Siale of Florida
Print Name of Nut. 2 Commission# GG 024416
�a'r M Comm. 'N%.�,. Y Expires Dec 16; 2020
Bonded Wench Nalional Nolen, Assn
Revised 11/16/2016
PRINT NAME
COUNTY CERTIFICATION ^NUMBER Q
State of Florida, County of w� i/�1
Thhie (foregoing Instr ent was signed before me this `I day of
s r i Kc 20 �11by �dL Y" ��f Ala I
who is pera (mown J^ur has produced a cc�L
as en ' on,
Public
lien • 1
j JOXWC-11MEMER.
Q M1 LION#G 32B0486
2% per
1tS° BoMedThu Nasmber29,2022
STAMP