HomeMy WebLinkAboutCancellation of PermitSEC
IEIVEDOCT:.3:0ZON Djp ZOZOCb rtmenttin Departn'PLC tyPermit
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t Lucie
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Permitting
S u e unty,
t. Lucie COU
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PLANNING& DEVELOPMENT
BUILDING & ZdNING VIV1910N
�COLINTY
R J n -.,:t: 2300,V-1 RQ*I� AYE
F L 0 D
FORYPIERC, E; FL 34982
(772) 4624553 FAX,4624578,,
,_WIANGE 01-C ONTRACTO&SUBCONTRACTOR OR CANCELLATIMCM-P-TWN LT-�
EVASK SELECT -ONE MIME- FOLLOWING:
--..:—,CHANGE QF CO*k47RACrOR-,- CJIMSCIO(Gontmclor is tube i#cd and fioiadicil by, the pLpftjhypA
and the nett 11wntqactior of're-ccird r6t the cti-irditt ':�' - t. A mcvv p4mkt apT'
cnni ��idn hust also bc,cornplcccd,.� p 1.
ednfmcior ffir-ormatiow'and-zig-no-tufc. A tonv Notice of �Conuncnccmcnt must be riled im_� the new contmclor's,.naffc-
for j9b valtles SM-itcr I t he submitted, pfic :to
Man S2j5QP_' (37�00' it' C -Okt), A fto-rded t6p r
conti, cncing any wark. There I - s - *_,i,�F0Cf_c9 for the Change of Contractor.
_y nius
ZZ.6—CHANGE1OF-SUBCONTRACTOR - Subcd:60#t-or q-11faft-' be conimclar, . Ses-arc to completed by the Scncrap,
The ncwsubcontracw.niust rfj out. a SutonCmcI_or.AMrccmcnt Fo-m4liere li--n S-56.00 rce for (lie Chaim of -Sul -'-
C,%NtEL,LATf0,N OP-TERNUT - TlievanccilatiCni of a pcFmft iiWccplabIc 6-01y'll' 0 -Mi IJecdn &iffc.
jwork _- I- -
d4ic crm is aq 0!a!jzcd .by both !he owner and q0ifli er of'iccurd. There s ino- fee for,
cancellation or the peradt.
Date:
Site
51
Permit Numbcr.,.5-kCt.,19- �G_0!_L4!
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PriscillaA. Navarro
NOTARY Puj3UC
STATE OF FLORIDA
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