HomeMy WebLinkAboutChange of Contractor yr+ 2 ~
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HAI�ICL'OF CONTRACTOR-Change of Contractor is to.,c si ►led a dpota z ;
' 'tt'MW contractor of record for the eurront permit:A now permit app#oiaigtt_i
motor inforatntion and siOdure.A new Notice of,Commenceuieitt must be leti WO t
#or job Vows greater than$2,500 $7,
S0a if A/C Cha4a-,out1; A zecorded cqp}!
09MPiencing any vYotk.There is a$50,00 fee.for the Ghan of Contractor': jl
.r:_r.C$ANGE OF MCQNTRACTOR Subeojttractor changes arse to'be compibted by",ttC,
The-nevv subcontractor must fill out a Subcontractor Agree Th Agreement Fotm. ere is a.$SQ:QQ fee;4y". 6
Contractor.
CANCELLATION OF PERMIT—The cancellation of a permit is atxeptable ody ifno
CaaucCUAtIM of permit is to be signed and notarized by both the,owner and qualifer of 1 c000i r
cancellation of the permit. `
Date; . •S^—/�`'/� J .
Permit Number: .
Site Address:
State License SLC License_ _
Q nal GC,subcontractor or vvn Auilda
�' �E l�/NlSI�iNC� T�u��
'�_' � �20�Z/✓1/S / State License SLCLit:e
1V'eW GC,subcontractor `-
Reason for Carlcellatiori U S?'(fU T/0/✓ d CO t 7u -FRe�; C3l>J.`
'Mi undersigned does hereby agree to indemtrify and hold harmless St Lucie County;its officers;agcrtb and-fttb s
costs;fees or damages arlsln, m-any and all claims of action for any reason,which may erisaes a cult ofth�s;,
contmotorlsubCe►fitractor cancellation of permit.A permit cannot be cancelled if weirkNO bift perriortktil.'
,ter--------
er/bullder) SIGNATURE 08NEFtALCONTRXCTOR(ociiawQtx;
•3I(iKA7Tlitti'QF • . . (or ow{n _ - • --- - .,..,;
// 7a Y,5, a t4 PRQrTNA1vtB r �.
PJUXT
[~aunty or9G Lueio Caunly State ofFlodde,CouetyaM iAtlecounty
S arFlorida, Tho rollo*z mfiwncnt w o i*nbwkd�,* ,,
j0WMcv,was acbwwkdgcd bdom me this dpy at_, Zq,�tk"ram .;
0�"/'t`'1— who is persondly known4o nro
ID. lien or wfid tiva produced DW , , ;