HomeMy WebLinkAboutChange of Contractor .41
PLANNIIv( &�0tm,ORISIEST, F1 VICES
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462-1553, IFAX 462157$
CII.4N 3E'OF CONTILACTdR SIt13C(1N` �ACTOR OR CA`N'CEL>f"A'TIf�N�'CIT=PERMT3
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- PI.E4SE SELEGT ONE OE THE�OLLOWIt�IGt - ,
C$ANGE;OF CO R--A TOR Change of-,outractor zs to;be signed and riofarzzed by�ttie:property owner;
and;the new contractor ofjreoorc�'for fihe'eurr�ntpermttt.pA new`permit:application must also be completed with new
contractnriformation and sz z
gnature Anew Natio of Commencement must be filed in the new contractors ,nater
for.�vb values greater than $2,500 ($T500Change-outs , reebde�il cop�r must b� ,sUbmztteda,prior to
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commencing any urark Tlier�>�s a$ Q QQ:fee for,#he,Ctiiange o>-C—-0- raetor,:
X C NGE OF.SUBCO.lY RACTOR-=subcontractor changes:ar to.be complei&fb the general contactor,:
he new subcanttactor must fz�1 out a Subcontractar Agreement}Form There is a$5 bOAfee for fhe;Change of�Sub-
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�ontr�ctor;� ..
C.ANGELLATION OFPERIMT. The'cancellatzon of.apermit zs accepfabte onlxtfno workhast`been done=
Cancellahorr ofperinzt is tube signed.and notarzed'byrbotfz=tlie owner and qualifier of record There is na fee iofi
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eancellatjron of theperur :
,, bate a�5i2o
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S><te'Addcess. _.._ r_ .,_. .__U� �=<: _..__.J/ '.
PEAYS ELECTRIC StateLeenseER120455'
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SLCZense
Origwlal CrG;�subcontracto'ar owiierlbulder;� - �"--_--�� " ___.�
GOLDS,TAR{ELECT;ZNCLicense EC13.002Q82 SLCIicenso--=
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Nese CG,.sihcontractor '
Reason for Cancellation PEAYS ELECTRIC rs
no,longgr on these lobs
The tznderstgized does hereby;agree to.zndemnifyrand;hold harmless StLucze County,Its officers,agents and emplayees'from a1T
costs;fees ar damages arzszng from any and All clean§of action far any reasowv itch may aez�esas a result of this change of
contractor/s tintcacior ancelia't on:ofp""t rmzt A permitcnn k b a ed kwork has Been performed
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GWAT,Q4F,0SNERAL:C0NTRAQT, 0R.pR(oraiewGG;agap hcabte)!
Puny rrx t 6rianVUs Davidspn,: rt�x iv ac John Cavnar
State:of Florida County,9t St Lue}i,bounty State of Florida,County of St.I ucieCounty
e foUowtn tnstrumentwas aclmowledged beforemethis.- The follovnng instrument was acimowled�ed before methts' `�
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Bnan W' avldson wlitrSs eiso'n`aII kitiowntorne. �d17tS_C.'8tRl8r` who isnersonaltvRnovm-4b. -
or'ivho
sigriaturo[NoWsy
17—
Stgnetureof;!Ititaiyj Date
Hevsea �t r "Zr"'^-� r�tw OINANq
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._ K `'MY CONNISSt�O�lNGG935B4J � �' •_� p(pitEg��ab ui+det�t'A ''
�� p{� F7WtRES t=eD+uaty272024, -�'��,i;g`�`�tioided�ttotW _ ;
6ondeddhnrNo�PubCegndeirp' • '
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PERMIT# '-,2,?
Y/' /� ,� t�SUE QATE
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E ANNL G &DE' T` C1PlYIE IT SEW?IQ,
Bntlditg &CodeCoinptianc�D>iv>lsion e
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B,U.ILDIIV�YERMiT' ,
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SUS-CQ�T I RACTOR AGREEltiIE1VT
Goldstar Electttc Inc hate agreed.to'?be
(Cotnp'any Name/Indtvi8ual
the Electrical w Sub-contractor for,' - R:_fTorfon:lnc
(T?rlmat�"Cgnttdctoc7;
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ro ec[Streit Addres's.,or l'ro a Tai ID
It 1s udders"toocixhat,.Oa is any=iahang of status re au., in aur,I a ticlpat on�c�ift fik�e a>�ove<lrientlon`ed
pr�ect.=the Building=and.Codebegulatton Dluisb ,ot5f Lucie County willa:be advxsed'; rsuaritto the
iling ofa Chapge ofSub co'nttacto""rriotiue.
4CO, R [ A uahfitr� M SIIB RAC NAT, RE(Quahfierj _—
- Br1an:W Davidson::_ John Ca`vtar
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EC 13 _x20
.CRGiJ27068'.
EOUNTY:CERTIFICATION lriJMBER = GOUPiTX,CERTIFIC4TION NUMBER
Stat!of F7onda,County of Brevard +•_ 'state of Florida,OoantyofB[eyard:
The foregoing lbsfi'nment wass/gdid'R oranle,tbW 5- day of The foregoing lnstrain ent��asaigned before mltliis:may_"of;
August. ,20 20,by Brian W Davidson ,. =Aueust: 20 20 by John Cavnar_
w o ls' ersona tmown or has"td'daced a-- _ t
uSviio is persotiali kn'o`;a X or:has roduceda m-- 44.
as idloil6c>ttsom .identification
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StgaslatareofNotary,Publlc - ' ?�ZEIZ� ' $ignatart<of;Notary,Eubhc' � �
,rnlr,,ame o _olary til ic- -;,rant ame.;0 6tary.`,..a 1v
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