HomeMy WebLinkAboutCancel letter requestPLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PER IT
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the current permit. A new permit application must also be completed with new
contractor information and signature. A new Notice of Commencement must be filed in the new contractor's name
for job values greater than S2,500 (S7,500 if A/C Change -out). A recorded copy must be submitted prior to
commencing any work. There is a S50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
'Be new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Contractor.
, n k CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: 2/11 /2021
Permit Number: 2006-0212
Site Address: 10751 XS Ocean Dr Unit B4 Jenasen Beach, FI 34957
Jonathan Starratt
Original GC, subcontractor or owner/builder
New GC, subcontractor
Reason for Cancellation
State License CGC1523ti55 SLC License
License SLC License
The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all
costs, fees or damages arisin from any and all claims of action for any reason, which may arise as a result of this change of
can or/subcontractor a c elladon of permit. A permit cannot be cancelled iE rk n rued.
W
SIGNAIVRE OF OWNER (or owner/Wilder) SIGNATURE rm4paL CO (or new GC, as applicable)
PRINT NAME kt�h� ( hV C PR[i�P Cg
State of Florida, County of St. Lucie County State of Florida, County of SL Lucie County
The following imirument was acimow luiged before me this
Lday of 20 7/, by
w o is personally [mown to me
prodtu-o AX as ID.
2111 /2021
Sipature of Notary Date///Z02r
7RM1 4etlQll WPMN 4 onp AaPLV1
*101'ad+Sfa*'WUN;3AW ;
►f t100 NH 0 W>rn
MWI)o th"K - �WXV 'll SI .
foltowing inshluum was
day of
or wbo
of Notary
before
is personally known to
1 /2021
Date
E4Y
' Florida5ta}�tle GG 235102My f::artoni�s�; ,0412022