HomeMy WebLinkAboutVoid LetterPLANNING & DEVELOPMENT SERVICES
BUILDING &'ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
CIIANGE OF COINTRACF'OR. SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEA513J. SELECT ONE OF 7I14FOLLO1VING:
CHANGF OF CONTRACTOR- Change of Contractor is to be signed and notarized by the property owner.
and the nc%v contractor of record for the current permit. A new permit application must also be completed with nciv
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 (57,500 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-
ontractor.
CANCELLATION OF PERMIT-- The cancellation of a permit is acceptable only if no work has been dune.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There Is no fee for
cancellation or the permit.
Dnte: Ili{ Li
Site Address:�LO�,
Original GC, subcontractor or o%mer/buildcr
Permit Number; '5 LC IC1I2) GI1.n3
_State LicenscN���SLC Liccnsc
Stare License SLC License
New GC, subcontractor
Reason for Cancellation c -g fY1 �, Cil-Q,4S�
The undersigned does hereby agree to indemnify and hold harmless St Lucie County, i f
ficcm agents
costs, fees or damages arising from any and all claims of action for any reason, w hid ay arise to a rr
contractor/subcontractor or cancellation of permit. A permit cannot be eanr E k hos he
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WNOTARY PUBLIC
STATE OF FLORIDA
Comm# GG138663
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