HomeMy WebLinkAboutChange of ContractorFrom fax5616880909 1.161.688.0909 Mon Feb 10 13:23:17 2020 MST Page 1 of 1
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982 ®' O
(772)462-1553 Fax 462-]578
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed by the property owner, and the now 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: 2/10/2020
Site Address: 9630 Knollwood Lane / Mesdowood lot 57
Permit Number: 1912-0238
GRBK GHO Homes LLC State License CBC051 145 SLC License
Original General Contractor (or subcontractor)
State License SLC License
New General Contractor (or Subcontractor)
Reason for Change The bedding plans for Nis home navocnangad as Ibis is rww a Sold Home.
The undersiguel does hereby agree to indemnify and hold harmless St. Lucie County, its officers,
agents, and crop oye s from all costs, fees, or damages arising from any and all claims of action for
any reason, whi h im y arise as a result of this change of cotttractorYsubcontractor or cancellation of
permit. A pennitic. ;1 ancelled if work has been performed.
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State oCplorida. i:ountypst. Luc County
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t1oy11d If I who is Qe sonall ngw to me
or who has produced as JD.
Signature of Notary �j—Date
'SIGNATIJRL'OI'NEW GENERALCONTRACTOR
State of Florida, County of St. Lucie Couhty
'nw following instrumau was acknowledgedbcfore me this
_day of__ TO_, by—.___
who is personally know to the
or who has produced as JD.
Signature of Notary Date
*On Iv signature required for charge of subcontractor.
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FEB 10 2020
Permitting Department
St. Lucie County, FL