HomeMy WebLinkAboutMisc Letters 0911812020 15:26 PIONEER SCREEN CO. (FAA)772 283 3028 P.001 l001
PLANMNG&DEVELOPMENT SERVICES
'COUNTY C-D
WELDING&ZONING DIVISION
2300 VIRGINIA AVE REGEIt7
FORT PIERCE,FL 34982 S E P 2 5 2020
(772)467.-1553 VAX 462-1578
ST. Lucie County, Permitting
OU GE.OF'CUNTRACTOR._6iJ1gCONTRACTO ,OR CANCELLATION OF MRMT
KXANE SELECT ONE OF nM 17oiLL0wg1G:
CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the currud permit,A new permit application must also be completed with new
contractor information and signature. A now 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$50.00 fee for the Change of Sub-
Contractor.
CANCELLATION OF PERMTr—no cancellation of a permit is acceptable only if no work has been done.
CanrcHation of permit is to be signed and notarized by both the owner and qualifier of record. There 9s no he for
cancellation of the permit.
Date: 9/17/20 Permit Nnmber: 2005-0353 aC0 5- (D(05 3
Site Address: 12328 Harbour Ridge Blvd,Palm City F134090
Pioneer Screen LLC State License SCOD46W SLC License�.
OdgbW GC,subcontractor or owneribuilder
State License 3LC License
New GC,subcontractor
Reason for Cancellation Homeowner Selling Property
The undersigned does hereby agree to indemnify and hold harmless St Lucie County,its officers,agents aucl employees from all
costs,fees or damages aris1 3 any and all claims of action for any Nano 'all may arise as a result of this ohange of
eonftctod tiactor or reflation ofpermit.A porno can t e ca ed work has een performed,
i-t.r1._
SIGNAT M WNER r evmer/bnilder) C R tnnew .as amumble)
PRINT NAME Anthony Potter FMTNANI Ig RIGS
8b"of l%TWa,Cmnty ofst;i role County sb tc of Florida,Cotmty of 8kZ*8i0CCnt$ty
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B 17/2D — 17/20
Slgnatm+a of Nobry Date 819uuttre of Notary Dmm
' °t BARBARA S RIZZ01T0
Revised Oa ro ERICA RAEADER
s ' Natar Public•State of Florida
MYCOA1M1S9ION#Ot31875TA ' Commiss1coNGG430186
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