HomeMy WebLinkAboutChange of Contractor �u7 PLANNING&DEVELOPAWNT SERVICES:'.
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EC 14 2020
V ST. Lucie County, Permit<in
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CHANGE OF CONTRACTOR,SUBC(INTRACTOR'OR CANCELLATION OF':PERMT
PLEASE`SELE&bNE bi THE:FQLLQWING:
CHANGE OF CONTRACTOR Change of Contractor isto be signed and:natarized by;the.pmpeity owner;:,
and the new contractor ofxecord;for the:currentrperaut;Anew permit;application must.also beiz completed vuitli new
contractor infon nation and signature.A-new`Notice of Commencement must.lie fired in-the new contractor's fmape,
for tab values:greater than 52�340 {$7,540 if A/C Change=out) A retarded copy must be submitted prior,to.
comiriencng any worn.There is a�SOOQ fee for the Change'of Contractor
CHANGE OF SUBCONTRACTOR Subbo&i ctor changes are to."be completed'by the.gene-al",contracton
The new ri subcontractor usf fill Out:a Subcontrdcior AgreementF.orm.There is a S50 60 fee for fhe Change of Sub-
Contractor.; ,
CANCELLATIQN QF PERMIT—The cancellation,af a peiinit is acceptable,only if no work has;'::bcen done:
Cancellation of permit is to be>s wed and notanzed by.both the owner and,qualifier of:record. There is teo lie".
eaniil ation.:oftlie,permit.
Permit Number: 20 oss5"
Site.Address oo� irir�us%iyyar.1;
?ERG MAS7 F�F�ET�1 ': Stater icense:. . . SIC License 31757
New GC„subcontractor
TI a undersigned does hereby agree to in emiufy and hold ha mless.S't Lucie Eounty,its officers,agents and employv s,fr mall
costs,fees or damages arising from any and;all claims of actYon forAny reason,which`inay arise as a r."esult:of this change of
contractorlsubcon ' c eellation of pe t"A permit cannot be ciiucelled if w ork ties boo perf ormed:;
$IGNA'fURE OF OWNER(ar owner/builder);
PRINT.NAME MAt T#iE}A(11'LE YVYfV
State of Florida Counry:of St Cud County: State of..;h7onda,County .of$t Lucie"County
0beforethisThe foFiowutginstrument was-actmowed flog' aol �n r vs acrnd. 'fore rae ttus' Q
iunxuv�tiLL`lvn `Clay of 201 20"' CiQi C. �'. /T+l 47"S
_�day of C.�)H.fiiQ20 2 by .
who is personally ldtown tome_ x" who is personally ltnown to
pr who has pmduced .. as ID.: me or wha.ha xodwed - as ID.
Stgnatttte of. tart' Date Srgnature of . .. Date;
urna,ra
DOROTHYANN BASKIN
Revised DOROTHYANN BASKIN MY COMMISSION#HH 04 COMMISSION#HH 045M " +E 5443
MY
ova' EXPIRES:October2,2024 =.F� eP° EXPIRES:October2,2024_.
„oF►�,,. SR c;•. Bonded Thru NO pubfic U Bonded Thru Notary Pubriie woenntters �h' nderwri0ers
PERMIT# ZOOS O(J5 ISSUE DATE
PLANNING& DEVELOPMENT SERVICES=
Building:& Code Compliance-DiviSion
- — BUILDING�PERMIT
lv6D
._,.. . .. :SUB-CONTRACTOR.A;GREEMEW.
CC 14 2020
County, Permitting,
ARC"MASTER'ELECTRIC have agreed<:to lie;
(Company:Name/S.aidrvidual Name)_
the ELECTRICIAN
Sufi-contractor for.
(Type-of T zade} (Primary Contractor)
for the pro,}ect located;M, 790.0`SO.UTH US HWY 1 ,
(Project Street.Address orPropertp Tax ID:#)
6s understood that,if there s;any cl tinge ao,$tatus regarding oiifpanc�pation'wtth the abovemrientioned,
prgject,:the Building and Code Regulation XV14ou:vfSta Lucie Gountywill,be ad used guts]ant to ttie':
filing af;a Change ofSut-contractar;;notice;
UB TRAGTUR .GPJATURE'' ualifter)
CHRISTOP,HER JERNIGAN
PRINT NAME
31751
C91M CERTIF[CATIQ14AUMBER
ST.,LUCIE y, LUCfE
Stete:of Plonda,County:of." State 94(Aonda;:Coanty of
Thi foregoing instrument was s7gned befog me this;,_�;day of The,foregoing strument;was.signed before-me tbis-J—:day:ot
CCe�'1&Yl zt>ar) o ��, lA�ll FC rYt-zO ;by,CHRISTOPHERJERNIG;4N
whois pecaopally known,.or tins produced'a _ ___ wboas;personal[ykaown. or has>produced`a'-
asidendtisahQu: asedentineatioa.
S�gnatureofNot Public STANTP
Sigaatdre of\otary `_t� '
DOROTHI(ANN B/CSK(N DOROTHY ANN BASKIN;
iWat,Name efriotary Pnbtir Pnai,irlame of NoEary Public.
; is+?�'�%; DOROTHYANNBASKIN
MY COMMISSION#HH 045443 <�Y°4'' DOROTHYANN BASKIN
Yc
EXPIRES:October 2,2024 ,; :,,: MY COMMISSION#HH 045M
''eacYQ'' Bonded Thru Notary Public Underwriters EXPIRES:October 2024
�'.kOF FI�P,•
R. Bonded ThrU Notary Pubriic Underwriters