HomeMy WebLinkAboutChange of SubContractor, ElectricF
aUNTYL D R i D !l
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
P CA5 LIrCT E O T W N
CHANGE OF CONTRACTOR - Change of Contractor is to be signed and notarized by the property owner,
and the new contractor orrecord 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 valves greater than $2,500 ($7,500 if A.:C Change -out). A recorded copy must be submitted rior to
cotntnencing any work. There is a $50.00 fee for the Change of Contractor. P
x_CHANGE OF SUBCONTRACTOR - Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement 1 orm. There is a SS0.00 fee for the Change contractor.
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: Lst 1 a
Permit Number: c� t3 �� 3 O
Site Address: UL�D C Y Y
G & G Electric, INC
j�UUjriginal GC, subcontractor or owner/builder - -state License_ C13Q�22i'8 SLC License 13727
New GC, subcontractor,:State License 1761 ARS —KC License 3fW9
Reason for Cancellation NT3 r
The undersigned does hereby agree to indemnify aild hold hartllle Lucie ccrs_ - —
costs, fees su damages arising from any and all ctailns of action for any reason, which may ty, its arise as a result of this agents and tchange o m all
contracrodsubconlractor or cancellation ofperMR. A permit cannot be eance ed if work has been performed.
J
TURF OF OWNER j o erPouilderl _'
SIGNATt3RE CNtYIVTRACTOR (or new GC. as applicabiet
PRIN? NRNE_ �'—.—
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State of Florida, County of St. Lucic County
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Signature of Notary Date
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Hannah E Moore
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Expires ono11�024
State of Florida. County of SI Lucie County
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