HomeMy WebLinkAboutCHANGE OF CONTRACTORPLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, l'+L 34982
(772) 4624353 FAX 46,M578
CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT
�ACR RF.T.RCT ENE OF THE FGLLOWING:
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 $2,500 ($7,500 if A/C Change -out), A recorded copy must be submitted prior to
commencing any work. There is a $50.00 fee for the Change of Contractor.
�CIIANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor,
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Contractor.
CANCELLATION OF PERMIT — The cancellation of a permit is acceptable orrly 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,
Aate; 04/30/2021
Site Address:
8217 MAIDENCANE PLACE
ED'S ELECTRIC INC
Original GC, subconhactor or awner/builder
AAPEX ELECTRIC
Netv GC, subcontractor
Permit Number:
2102-0710
License EC0001569 SLC License
LicensoEC13009343' SLC License
Reason for Cancellation
The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees firom 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 pernitt cannot be emrceRed ifiworlulras,heen performed,
MARK MONT jt. PAUL ROMAN
SIGNATURE OP OWNS r nedbui SIGNATURE'GENERAL CONTRACTOR(ornew GO, as applicable)
PRINT NAM _ _ PRINT•NAME.: 1 1'C(7 CiL/y Pl D _
State
ofFlorida, ¢bunty oPSt. LrioCounty /
The followfog Inshvment wns ncknnwledged before me this
at day of."JL .20�JL, by Mft IL
Imnn YMI rU who is personally knowLto me
or
who has produced as ID,
0t4r� L. Pv%vL:e.V.
Signature Date y. 3o.loll
state of Plm3do, County of St. Lucie County
The following instmment wns aelmowledPcd�befoc r Ihis
.day of ATI , 2021 by YC UL 1—'C.0U
who srtelsonaily own to
w who has produced as ID. �.�
° ��Do �(W� �13V1
SJgnature of Nolary
ate al FIOMa59K]
od HH 054334
Revised 04/r5/1602g
$`J,' Notary Public Stets of Florida
Robin L Bowen
+� My Commission GG 298272
qap�'' Expires 02/0412023