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Home My WebLink AboutChange of Contractor(Planning & Development Services Building & Code Regulations Division i 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Fax 462-1578 I I GE OF CONTRACTOR Or Subcontractor or Cancellation 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 must also be completed with new contractor information, signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to commencingl any work. Subcontractor changes can be completed by the general contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the owner and qualifier of record. i Date: 4/6/2015 Site Address: 8224 S OCEAN DR. SAINT LUCIE COUNTY Permit Number: 1407-0469-01 MAURICE ELECTRIC INC. I State License Original General Contractor (or Subcontractor) SLC License 18609 CARNEY ELECTRIC INC. I State License SLC License New General Contractor (or Subcontractor) Reason for Change UNKNOW The undersigned does hereby agree'to indemnify and hold harmless St. Lucie County, its officers, agents, and employees from all costs, fees, or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed. - SIGNATURE OF OWNER (or owner/builder) PRINT NAME State of Florida, County of St. Lucie County The following instrument was acknowledged before me this day of 20_ by who is personally know to me or who has produced as ID. Signature of Notary Date State of Florida, County of St. Lucie County The following in rume�t was acknowledged before me this day of T'r�i', , 2015 by c . �— Lfi1Cw�who is personally know to me or who has produced as ID. Signatuaf Notary Date *Only signature required for change of subcontractor Revised 07/21/14 2)'l 4ar a�B' MARGUERITA GARCI Notary Public -State of FloridaMy Comm. Expires Jan 9, 2018oCommission # FF 082199 e Ff a�� I 05/01/2015 09:26 5616591197DISALVO FINANCIAL PAGE 01/02 iw P � �4 77.2 Planning & Development Services Building & Code Regulations Division 2300 Virginis Avm Fort Pierce, VL 34982 (772)462-1553 Fax 462-1571; CHANGE OF CONTRACTOR Or Subcolatmetor or Cancellation 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 must also be completed with new contractor information, signature, and transfer fee. A now Notice of Commencement must be filed in the new contraCtOeg name for job values greater tliian $2,500 ($79500 if A/C Change -out), A recorded copy must be submitted prior to commencing any work. Subcontractor changes can be completed by the general contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the owner and qualifier of record. Date: 7 - I Permit Number: . fi � 51 Site Address: �� ) i' .liC��,Q.-.9 .-.. State License SLC LicenseG4V&-, Original General Co. acto (or S 'contractor) _ s . _. _ . _ . _.-- -..--- State License � `� �! SLC License. _....._.._.---- --�ti -- Reason for Change `\ VNA'' Q'�< The undersigned does hereby, agree to indetr►n f andBald harmless St. Lucie County, its officers, agents, and employees from all costs, fees, or damages arising from any and all claims of action for any reason, which may arise as a .result of this change of contractor/subcontractor or cancellation of permit. A permit caffnot be cancelled if work has been performed. STGNATUM Q /W�f RE* (or owner/build ) Ia A7•URE OT G , itR�4L CONTRACTOR OR PRINT NM. i,, ./.�'.z /�/ �I/� PRtNT NAME state of rlodda, County of St. Lucie County State of rJorida, County of St, Lucic County The following i a ent was acknowledged belbre me this The following in cent was ziclamwledgcd before me this day of 201 % by day • 2c , hY PL I who is Personallyi know to me ,,,,,who is pWonelly know to me or aVho has nm as ID. wh produced as ID. Signature of Notary U Daft Signature of Notary V Date f�PpANt;ESboNZA *Only sig "�ar0w0t SI F n of suboQntractor EXP?7,' fy� pRANCESI)ONZA Revised 07 /2 f , € gerWod Tara Notary Puhilc Und�evrHers �: MY COMM S&ON B FF 014070 EXPIRES: July 27, 2017 A n Banded TMu N*ry PA33 Ulwarwhit 05/01/2015 09:26 PPERMIT# DISALVO FINANCIAL PAGE 02/02 IsSMOTE EVOR EN 9 ICES -FtR-V- do V: aip"g-kw, -T L-Utid CO w tf p State -of Florida --ske �--- --za-1-- for the pr*000cmed at 4rtO--T-1c`8 A LWI, 0 It itkuhdeistobd'that; iftheft-119 aoyohm�8e htirtge-of SO-Ocotmetbf notio. (Fbml: SLCCDV,(N6.-0(W00).- on ihb NOTARMA)IOURA-i 00110$9. -Name.. Address: phanc: A - JhApf ..1:� JKL IDWYE' I I N-pt-a-RditInfil 9-TH111k. ODA or'l A:P RS 0 UY KNO N OWMAS , 1110 (STAMP)