HomeMy WebLinkAbout2007-0394 Change Sun ContractorPLANNING & DEVELOPMENT SERVICES
BUII-DING & ZONING DIVISION
2300 VIRGINLA AVE
FORT PIE RCE, FL 34982
(772) 462-1553 FAX 462-1.578
CHANGE HFCONTRACT011,.51[31F7 A('T[?R 0R CAN(=FI,1.ATIIlM1 1lF PFRNIT
PLEASE, Si •LECT ONE OF THE FOLT•faVi TNQI
('HA NGP,' OF (-'O 1TF[A r'TOR — Change of Contractor is to he signal and m%rireci by the proymrty a+%�-ncr,
and the new ownactor of record for the current pumit. A new permit appl.i=1on must al -go he complctcd with new
contractor ink mmeion an-d signatwe. A new Notice of Commcn"mint must be Mcd in thr- new contract r S name
R r job values Wvater than $2,500 ($- ,5K if AJC. A r000rded cope must be submitted prior to
commle 6ng any wwuTk- Thera is a M.OQ tft, for 11ke Change of Cointractor.
_CHA GE OF SUBCONTRAE-rOR - SubeontractaT chaTiges am to be camp Ictcd b}- the genera I c ontmctor.
Th,e new suhi:oneuctvr umust dill out a S ubcontlactor Agreemew Form. There is a M.11€F fee for the Change of 5u b-
C'ontractor-
CANCELLATION OF PERWT •- The cancellation of a permit is a pta blc only if no vw•ort: ha3 been clone.
Canc.ellm6on of permit is to be sued and notarLwd by Lath the owner and qualifier of record- Drere is *to fee for
cancellation of the permit.
Date: %OP2 I
Permit �fum�er • �#� �3 � �- _
Site Address: ,!� L- �Lr 'n R 1,-21 KF A! 1:7/ _2'+4g2
L- /- a A tit] U B i 7 }4 A H 1 State License- — --SLC Lieen-%e J 0Z4�-k
Original GC, subwneacmr tr i) wnerrbuiiLkr
AuE Ya Lr jaT 4 yn t, z 'Statr LIPMR! SLC I-iuxnse -3 t oo
NgW CyC, rubcon"ctor
Reasou for Ca ccJkk ian h inir r A, r a,C Z ; Cd I ^i 17 < A) - %-, . - •.�
The timdeni fined dne; hereby actme t5 indernnif} and hcrld harmlc-99 St Luck County. its officers, agrr -s and crnplawers fmm al I
w5LS, fees w damages arising from any and all claims cit 8cticn for any tea{ten. whirh MY WftC a5 a resUIt of this [ban fit of
contraebw'mkoncra,rtor ar camc&adan of permit A permit eanaat br cancelled if work has bmn perfDrmed.
SrC2 A—N ME OF C?WNER (ir 0WnLr.9xui1der) Sr�NA C • TOR (or nr w C.C. as gplicahle
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FIERr,r IT A � ISSUE DATE
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PLA NrNC. & DEVELOPMENT SERVICES
Building & Code Camplim m ee Ilivi$ion
BUILDING PERMIT
5IJB-COPI'RACTOR AGREEMENT
) _ LI'r413lA,7,� /. e _ haviL agreed Lo be
(CcHmparr)r NamejT.md iv ill Nam)
ow ,gd Sub-contramr for (Pr
n,',,
],or the pftjer t lixaled at hjz_.�: z- tzIL)27AC Iz7f C4 3491f.2
(R orA Strom Addle or Prrperty Tax FD N)
It is undersloc J that, if Ehcre is any change of status regarding nut partici lion with the above rncntioned
projcL! t, thu Building and Code Regulation Diyision of St_ Lucie Counly wil I be Wvi&cd pursuant to the
filing -of a Change of Sub-contramr notice.
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