HomeMy WebLinkAboutMisc Letters/ Request to void Planning,&Development Services
J M_ F' Building&Code Reguiation&Division
23ob mrglnia Ave:
e - Fort Pierce,FL34487,
(772)4624553'Fat 461r1578'
CHANGE OF CONTRACTOR
Or Subcontractor or;Cmtncellation. of Permit
Change of Contractor is.to be completed;by the propMy owner,;and the new contractor of record for the,
current permit. A.,new permit application.must also be completed with new contractor information;
signature;and:transfer fee.A newNotice of Commencement must be file#in,the new contractor's,
name for job rabies greater than-S2;500 ($T;Sp0 if Alt Chang"40 A,recorded;copy must be
submitted prior to commencing any work, Subcontractor changes.can bt completed by the general
contractor- Absent:extenuating circumstances; a cancellation of permit is to be executed by both the
&Mer:and qualifier of record6
Date: t]ec 19„2020 Permit Number 1.611-4482
Site Address• 3265 S.US'Hi9hwiy T
GWP Electric LLC
Mutate LicenseEG13009220_ SLC License
O„riginaf General Contractor(or Subcofitractor)
- State License SLC License
NeW.General,Gontractor(or Subcoritractvr)-
Reason;for,hagd Cancellation of:;permit
The undersigned does hereby agree to,indemnify and hold harmless,St Lucie County,its oilicers,
agents,and employees from all costs,fees,.or damages arising fiom any and all claims of action for
any reason,.which,may anse>as a-result of.thi$change of contractor/subcontractor or cancellation:of
permit. A peninit catsnotbe cancelled:if work has been performed:
SM4MATURE.OFOWNFR(or.owneribgdder) °SIGNAMTi EOFNEW GENERALCONMACTOR
PRINrr 11MME PRINT -A.m ... .
Stat¢of F'ludda,County of St.,Lucie County Sato of.Florida Comity of SL.Lucit County
17tu fdlim.g mslmbt6t wa§;acknowledged before ma this The following instrument was acknowledged befmcme;ihis
_dayof .,.2P_.,by: .. _dayoE ,2_by = '
tvhu:is pesonplty know to me, ..who is pmouauy know:[a me
omha hag produced asID.. or.who has produccd. ...asID. .
slguature onNe.diry Dale Sigauture or,Notary PDate
*duly signature revu_red for change of subcontractor
RevisecJ.
RECEIVED
DEC.21 2020
Permitting Department
St. Lucie County, FL
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