HomeMy WebLinkAboutChange of Contractor-a, n
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F L 0 R I D A J
P ANN "VVE ok SIMN-1
BUILDING'*"MIG"DIVISION
140 0', Vmt-VIA, AVE.
'(77 24 FAX 462 07$,
K CANCELLATION ,,AN.-ELLATION,OF�'PlgRMT-'.
PLEASETSELEMONE:OFTBE FOLLOWING.
'CHANGE OF CONTRACTOR Change�of'O j b Undiarized-by, -Pr
intractorls lie
gqw R.4 completed,withI nevi
.g t§;� wcoriim6ibroP 0
pji6ationlibu9ta isbol
:M. the. new coigractor� m0*
i signature pile,
for; job Q! If "Change-out).,.A or...ao
commencing ianywdr
CHANGE lTSU1W_,ONT!UC T61i —Subcontractor _changes' 'q , r , e to be .pTpl e�'c A the g contractor::: completed" ' b- y
The.new subcontractor must fill out a_ ., Ak 1. .1 'S'Ob—
_tfi� Th .. rg, *$5
�J, Q. COO 0 46 CkAb�& 6f
°�CANCELLATION
acceptable:only if no workhas been
m
b
notarized
Date 061011-20W
Cypress St
baniet'8eckner. FiaiadI66,JEkf6iio"rs-,
'P o' 1'802.- 07-11'
R&aoii,f&C4pc'dllaftoh '.006nt cancelled contract with; us, some"never-did1h6job,
-The :i.idde;-4i'gif6&,d,j'e's-hereb'-" — . - ' ..'
j . y�4greeto�iiidemnity,,�p4hold 'harmless '- Co��t�'i -�office -and.effip
f�'8"uu �u " "u� "' " u u Stlucie gs.
costs; -in -- 9 i� -f tsjZ4� a A& 'Aris F rom coriot optrtct cancellation'or or
ib
, , _�, " 1
47a , g �
-SIGNA ri3RE,OF,OWNER;(or ar/builder).
t0f UT. -NAME
Florida; ;County of St Luce County
The, . foi . iowinq irtitniffient, was acknowic6ed before
Aqmethis
day of .'26
who:�s personally known tome=
ror-*hhasp rbdffc6d as ID
0510172020
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§lgh'atUii'6f _y Diffe
Reyxsed, 94"
SWeatondo; Count
ofi44991unt Y. pfSt, LucieC L!4tyz
Th6,116flouingin-sp clm I..
pent -was a ow ;� -ed:b6 =fo r VIM'S
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4ne-Vt why ha --induced 'ID
'tfigFe 6fN466
o _7 -:Date
A4YCOMMISSION #
GG20061
FO EXPIRES- Apn1'10, 2022:,
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