HomeMy WebLinkAboutCancellation of Permit (2) 4 Ccruii;v�cJ -�a __,�p�� CD� lle�
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PLANNIPIG DEYELtJPMENT SERYI._CES
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2300 RINIA AYE,
. .: FC}ItT IPYERCE, FL 34982 R 020
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ST. Lucie County, Permitting
CI;iANGE OF C(JN'TiaAOTOR;STIBC4NTRACTOR OR-CANCEL,LA'TSION C3F PERmr
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Pt W%E SELEC C Oi+IEOF THE FOLLUW I1�iG Y ''°
C IANG)i;OF ONTRk&ft Change of Contractor ts.ta be stgnedl rid notarized by Ehe property owner;
and,the new contractor afrecord-for the''current permit ,A new pernt appl2catton must also tietznipteted r�rel'new.
contractor tnfarrriatton aid signature A,new Not)ce tat'Commencement must be filed to the new contractor `name;'
fir"'}oti values greater, than F$2SOU ($7 500 if A/C`Change-outs„ A recorded,•crpy mustE tie sabnitted .pet)r to
con�meCHANGE OF UBC0-TRACTO1,—Subs ntt ctor.changes are fo iie complete� �
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n d by the,general contractor
The.new sabcontraetor must'fill out a Sibcontractar 4 reement Form There is a, SO 00 fie for tlhe Chan a of Sub-
A. • Contracto � - - � - � F- r
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xx CANCELLATION OF;PEIMIT Thecancellattan of a pe" tnrt ts�acceptblc only�f naorf.hay been done
Cancellatign af.permtt is to be:sign
;and t}otartzed by bath'the owner and,qualifier of record i'f'Et{xe is nti fee fior
i�cetlatroA mf tee ¢, •-- �vc� + �n f'rvta =Y r2,b�c c�: iyv 1 t :� �L.c4 It
Date _ - :: Perintt Number=
Site Address ,xx
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PETER CA �2Q State`Ltce se°CGC15Q3417 .
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SLC L.�certse
x Original,GC sulacotttractor or::owneribi--der
State L)eense NiAt .a SLC License N/A
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Reason for Caacellanon CUSTOMER CAl'3CEf E®INSTALLATION
Tie under5rgned does hereby agreeto')ndeitntfy and hold ;artrstess St'Lucie Caun its o _cers` cots arid:emptoyees fron 'al_l
costs .fees'ar damages arist from an and all claims of action for:an g y y Mason w is ma arise as result of this cfian�*e of
c_on_tractorfsubcontractor`or'cancellat�on of permit_A permit cannot be eaa€el! tf o „has be
p,erformticl;
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Sk.NArlFRl,:ailUWTVtR(o�atmcrltiuilder) : $1GN !R G iRAI;C(3i5YfttfC`17) ewEEC;,�aVpti 1111
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PETER CAF, Ct ,.::
Siute_ot t iciricla C mint �f Ct_Luau County StaEe,ffrrf__ oumy"";af St t�c e C ounty;
:lTic lalkn�rigiit:�nEm�rot.�atiackrm�tiledgx!befcxa;met}ns Ihetolimhng; ttumenraasaclsno�tiiiKig�cl.,tiefisre me°ihn ,
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Ae`.:�is,ed tlAJ1S/SE _ ' � - � Mp�ommissionFF99184�
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