HomeMy WebLinkAboutChange of Contractor PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
Q
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING: a- 50 5 )q
CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized 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 and signature. 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. There is a$50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR-Subcontractor changes are'to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a$50.00 fee for the Change of Sub-
288nt ractor.
CANCELLATION OF PERMIT—The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: 07/20/2020 Permit Number: 1908-0205
Site Address: 2661 Dyer Rd Port St Lucie FI 34952
State License SLC License
Original GC,subcontractor or owner/builder
State License SLC License
New GC,subcontractor yA I y- Sa 1— 4 y ta„- 15d- a.
Reason for Cancellation We decided to buy an existing house. We never started construction on the house.
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 any and all claims of action for any reason,which may arise as a result of this change of
contrac or/subcontractor or cancellation of permit.A permit cannot be cancelled if work has been performed.
c '
SIG TURE OF OWNER(or owner/builder) SIGNATURE GENERAL CONTRACTOR(or new GC,as applicable)
PRINT NAME John Wiswell PRINTNAME
State of Florida,County of St.Lucie County State of Florida;County of St.Lucie County
The following instrument was acknowledged efore me this The following instrument was acknowledged before me this
a day of U nR__. 20 c Q,'by J O� day of 20_,by
who is personally known to me who is personally known to
or wh p need Wit- "L as ID, me or who has produced as ID.
07/20/2020 07/20/2020
Si ature f Notary Date Signature of Notary Date
Revised 04/15/161 AG YANETSIS RODRIGUEZ ARIAS
E&
�� Notanv Public.State of Florida
Commission#GG 335182
My comm expires May 15,2023