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HomeMy WebLinkAboutChange of Contractor (2)i
LA- N1NG&:D ?ELO WENT ]ICES
E • NTY
2300 VIRGINWA
FORT WERC, � FL 34982;
462=1553` FAX 462 1578{
CAANGE"OEM,ONTRACTOR S>tT>3Cdly,F[�RArTOR'OR C °NCFLLATTON dI+s:PF`">EZMT
PlEA.S�SE�.ECT:O`NE t9��'THEF`O];LO.W`ING:.
C)EIANG ft," T"ib!roxChangeof:Contraelo is ta'be signed andnotanzed.by=theproperty-owner,_
anct`the net cotifractor of%record.por`the curreht perrtufi:.A new'.,pernut appticafion must atso::`be cotnpleted>w>ttYt nevV
contractor information and;signature Anew Nottce of.Commettcement=must be filed to the new contractor's Halite:
for job values greater than) $2,500 ($?�SOQ if A/C Ghange�ut) A, recorded' copy must be submi' ed pnor,=fo;
comtnenciri an worlEj.There is a 550,UU fee for the,ACl�aange of.Cobti actor.:
CHANE)$-©F SUBCONTRACTOR Subcontractor`changes=areo`le completed by the general contractor;;
The`new subcontractor must fill°:out a Subcontractor A r ehaenf,portn' TI__pd t! a X5%00,"fee for the Change of S�fr
contractor:
CANGELI:ATYO1 ,OF PERMIT The,cancellatton of a:'periitif is accept6 'onty-�if no work has.bden done,
Cace�la66o£permit is;to be:sig_ncd;and notarized by boih't6e.owner and`:qualier of recordhece isuo fee'for
cancellation of the permi' :
Date st52o Permitl�Iurnber, _.:� �G��U 5�`_.,
,` r
Sife;Addrss
E?EAY9 ELECTRIC _ St ate LtEense:E12Q45 ' sLCLiceris -
Original GC,su6contracto`r,,or,o.,wner/bw et..
GOLDSTIiRE•LCT INC _°r_.. EC'r
State License _13002082 SL L cense_235
��
N>v�v GC,subcontractor.;
Reason fi5f Cancellation PEAYSELECTRIG:is no'1"ongeron theselobs:. -
The'pnders>gned does hereby agree-to indemnify aiidhotd harmless St Lucte County,tis officers;agents`and einptoyees from_alI
costs,fees.ar=damages ansxrig-from:any and'all claims,of actton for any,reasonwhtch:tnay art5e as a restiIt of this change of`
b_
cnntractnrfs" nfractor alYcellation ofpetmtf:A.permif;can ,tb ed�f work has beenperformed
,.__ ... .. ,
$f :_ ti odes.} s. A .. _6I2ALC0-NTR�GTOTt(or:'new GCa§bppllcatiie)-
Pf ZNT NAME..BCtan W DaVI,tlSO0;_ exiNriv -._John Cavnar
5;AO Florida; 6f,9t Lucie pounty .$We of Ftonda,;Caunty ofSt Lue»Coanty
he;f0 owutg instturnent>Etas ackiidwledge'd"beforeme'this The foI[owmg�n5tivmenfwas aclmowledged be6m me Ni s:
da of ,A'ugust 2p 20.b'
dayo#'AUgUSt_
PB -.1; ;[tan 1/VaVIC1SOf} who is-eisonallY'kriownto:me ``JOhn CavnaL4Q is persollafty
o[wtioh ed -ine:or red
5i990ure of Notary.:= 1?atG Sgns♦tore of Notarx Date
. Rev%sed rr �*� _ Dltu tP�N�93384�
:+a � �IN!►FARRtNO:_ r+0. MYGONb1155 27.;202!
:i , MYCOMNIS6JON%fGQ935843" `� +�'tr-='t p�pIRESr� �Un�r,,.,yt"' ,
+ p IXPIRES Fabruary27.202�. +?5�',.�'`� s�naoatMutm+xr
''�°.r+;g2. BondodiFWNo '. -
, WYPubC�tlatlenniGR; --_
PERMITA f-� ISSUE`DATE
1 .
�L=, s� V
Jl? "N' &.DEVELO"Q NT ER5!55T C=j
ES`
s
"O`iog Co
tai de;CO b><v sioi
UNTY
� tBUIL`QI[N.G PERIVlIT '
CON'CRA�TC)R�GItEEM1T.
GOCdstar Electtic Tric _.- have agre"ed to`be
`(Company'Namellndi�'"'IName);
the Electrical' Sub c0ritiAO&f UR.'H6 In6
'Te of`Trade
yp (Primary Contractor)
� (( J
For the prol`ecf toeated at
(Project Street''Add'ress.or-Property'Tax M#).
It Is uriclerstood that;,ftliere Is any change of status regarding'our Ott ijn vYltl thea ore rt entlonecl
raaect,.°the,$uldingand Come Regulation Dt'dsonraf S,fi L`uce County�clll;l�e adr!'sedpursuanY<tol%e
I
f ling of a Change of`Sub contractor notice.
;Cer)' SUB- Quahfier}`:.
::Bnan-W Davidson - _ : John Cavnar. . . -
PRIN rNAME RINT N 9 -=
�s.CRG ���746&. R:: :.- .._., .,;..� ..:ti..... _...: ,_ -: �EC130Q2t�:82-• ',: ,
`COUNTI'CERTIFICATION NL]1VIBER<
COUNTY::CERTNICATIONNUMER '`=
Stafe of I7dltda�County of!_$reVaT(1 . State of Flor'►da,Cduaty of Brexard.
xThe foregoing instrument was stgnetititfore me itiis--=day o f Tfie foregoing instrument was 3igned,tiefore met6i5= day.'of
IS
August: 20 20;.i y Brian WDavidson -- _. gu
..Aust 2b 20,t, - John'Cavnar
i
woo is csonaliy known Mx.or bas roducedA^ - m is persan`eliy known ur-6as produceda-
as idetitificattdn, >_ tis. deuti cation. _
It
Signatnri:ofNdtatyP=u61tc} t ' of StguaturedfNotaKyPubhr o�;
Dina 1'amno 3'
o
,otary .0_►r .4ntD'ame o N tary.: u tc Al,
rtnt AT" D ,
Itevised.Yl%f6/201b:- .