HomeMy WebLinkAboutRudolf Change of Contractor form0
Planning tnv1op m e nt Services
2300 Vir ois Ave.,
Fort Pierce, F134992
(7 )"4 5 Fax 1 78
CHANGE OF CONTRACTOR
Or Subcontractor or Cancegation of Permit
Change of Contrwor is to be completed by the property owncir, the new Contractor of record for the
curreAt permit A new p c it application must also be completed Mith now contractor i nfo,ati
5jgnarurc, and transfer fee. A new Notice of Commencementmust be Mee In Me new con r$ tor"
ua mk for job vales greater than n , 0 (S7,500 It A/C h nge,-uu t recorded copy must he
:9iAbraiMd print to commenclagany work. Subcontractor changescan tic completed bry t'ht gmvml
contactor. Absent extenuating circumstances, a c$a elution of puirkit is to a exe ut y both (bLe
owner and qualifier of record.
Fetrwi ry 10, 2021
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i �ISite dd ss: Pori St. Lug o, FL 34 B56
Floi6cja Gas Stale License SLC Liceme
rI n al Ocnml contTacwir (or Subcontractor)
Ferro r4sz State LiCensc IllSLC Lien 1 70
New General Contracmr (or ubcontm r)
Reason for Change
e undm •gned does hereby agrcr, t fir _ x t. Lucie County, its officers.,
agents, cmPloyces from all costs, fees, or darnagm arising froinany and a l 1 claims of action for
which s w a result o thi a change o f ontra tort ub contras c an cellar ion o f
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p er 1. cruet can a can d o rk b o been pr,e.
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