HomeMy WebLinkAboutChange of ContractorCOUNTY
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CONTRA-CTOR,',g,-"C4jNT,RACTOR,R" OCANCELLAT-I6N,'OF PEPMT
'O THE G, 10 OLL WINit
V RC 0NT1 iACTQR �1,li,�nge Isf�:I. Contractor is to be'signed and notarized by11 ! the pioperty, 6wnefl' ii
completed'
e 1
of record for the; ;currentperrnllt: '11ne, it:.applicationi must also •be c with ne
i and signftature. Xneid14otice of Commencement-must�be filed in the new contractors name,
[than! �$'11:5 0 d (0,56'01 if A'/C'Change'-'out). j A recorded copy.must'bel-1-submittea, .,prior tI
k. -There'i� a $56460 fee for thk,h Inge of Contra * toi.
T -T
7 TRACTOR ub ontrictor. changes: by the general c6ntract6i.,.
`SUBC6�N XTO iges'� are to be completed
r must ?-iif out S-U'be-o'n6act6r grepin6ht-Form.-There is a'150M fee fb'rihe Cliange!lof SO.-'
gned
RNHT — The canceilation:6f a perffift, is acceptable only if no Work ha
s as be,en donc.�
t il io 1" d:iita�itedib��ipth-ioi�Ine`r,and'quaH 1�eIan he er of record. There .is 'n'6 fee::f6
rinit.
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er 'it �qiimber:vwqo
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c 'S. a;� State. License C6 �Z 157 SLC;Lic:en11se 4S
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reby jhg'redio indemnify a d1hold! harmless StLucie '(oiinty, its officers, agents and Jemployees from all;
result
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s of actii any, reason,) 'may arise 'are of ch &of
lsi'�9�::fi�nl Uny and all 61 in4or an
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or11 �� , I I I., '? 11 1 j
1 n ''it !canno
t not be cancelled if rl It b6en Oe�forined.
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o%meAhii P.13 SiGNATUGENE ItACTbR (or neiv GC, !,as applibable)
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Din
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3-ames -Rot r
Lucie County State'of Florida,' County of St Lucie County
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'' acknowledged{beforenethis, ibe ulwvinghstrunent was acknowledged before rqq1this-
day of T 01\'Y; 20AO-
�y
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by.
-wro-le b�IJIi n—mfWA161 peroa y o 0
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as IA;, ,�:,-worwho has ' 'a 'd as I
prod
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:1 "Cl.
D Signature of Notar y Date
V
fFlorida
Lambert�Att,Vrea Lapublic
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P,�iliANII."-;,'IN,.&:DEVELOPAMNT SERVICES I!
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G &ZONINdbIVISION,
3 0 0 �'V-1' R1 G1 �x AV'j, E
F6PIERCE R�T 49�2
1(772),4,62-1553 FAX
Notaryip, ublic State of I Florida
Andrea Lambert
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0 Ission,GG 1811517
Expires 02/20/2022