HomeMy WebLinkAboutChange of Contractor 03/07/2018 10:40 FAX 7724606929 `VILCO CI]001
EC:EVEB
Planning&Development Set'viees
,Building&Code Regulations Dlivision 32300 VueoU Ave.Fort Pierce,FL 34982
(772)462-1553 Fax462-157$ Sucre Co , Permitting
CELA NGE OF CONTRACTOR,
Or Subcontractor or CanceltiftoA of Permit
Change of Contractor is to be completed by the property owner,and the new contractor of record for the
current permit A.new permit application roust also be completed, with new contractor information,
signatmlel and transfer fee.A new Notice of Commeneemeat must be filed an the new contractor's
name for job values greater than $2,500 (S7,500 if A/C Change-out:). A recorded copy must be
submitted prior to commencing any work. Subcontractor changts can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to'be executed by both the
owoer and qualifier of rccotd
Date: 2-22 2018 Permit Number: 1710.0112
Site Address- 107018 Ocean Dr.Lot 921
Laces Fiect6cal-50mce LLC J John Law► Statae l,ieq _SLC Lieeltse
Original General Contractor(or Subcontractor)
Sam:crane F-lecideal I.-C / Robert Crane State License SLC License
New General Contractor(or Subcontractor)
Reason for Change Owner derided on new subcontractor
The undersigned dotes be>eby agree to indemnify and hold lutrmless St.Lucie County,its officers,
agents,and employees from all costs,fees,or damages arising from any and all claims of actioll for
any reason,which may aline as a result of this change of contractorlsubcownetor or cancellation of
petatit A permit cannot be cancelled if work has been,performed.
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SIGNAUW OF OWNM (or owtrar)bnildcr) •8IGNATUiR5 oFbN W G'EMdEAL CO N 7 9=0R
PRINT NAME PR=IgAUE
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State of Florida,Cesunty ofst Lucie Comfy State Of Florida.Caatnty of St Lucie Courtly
Tho following in3tmtn=t wns aclarowlcdgat befbfc mi;this The following hWftw fmtwns nt I=,jltd¢td before me d&
� daY ot._. -._ ,20 _.by--- day of• �.20,�by
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who is pmonally know to me who is pzmonally ltu0w to ma
of wbo has produced es ID. W wha has
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Slgaaturo orriatuy Data signature orNotar'y
*Only signature required for change of subcontractor r
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iEiAP06610NE
Revised tl7/21/19 �, t�FFtiA53>5
. i eiai" 21.20M
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