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HomeMy WebLinkAboutChange of Sub-Contractor - PlumbingPLANNING & DEVELOPMENT SERVICES WitE. Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT V�a� 0S 1 Itl]C. (Company Name/lndivi6val le) the Sub -contractor for (Type of Trade) For the project located at 8036 SPENDTHRIFT have agreed to be A Great Home, LLC (Primary Contractor) (Project Strctc l Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie: County will be advised pursuant to the filing of a Changz'blgub-coXraetor notice. E"(1Pi't'RAGIMR Ste A RE (Qualifier) DARRIC LEY PRINT NAMV COUNTY CERTII?ICATION NUMBER State of Florida. Coualy of ST LUCIE The foregoing instrument was signed bel.ure me this 10 JUKE .20' ,by Darrick Bailey who is personally known or has produced a as identille on. Signature Notar s *" CRYSTAL Y BISHOP Prin t?hf f N(PW,YI�30MMISSION # GG127618 '.?er EXPIRES July 24, 2021 Revised 11/16,2W6 clay of STAMP SUBCONTRACTOR SI(;NAT(fFR , (Qu_abliier) CCU1C C,( J-LV-N, PRINT NAME LFQ_ lq q COUNTY CER'T11 ICATION NUMBER state or Floricla. Courtly of t_.. ,;e 4't 'The foregoing iastrument was signed before me this �=tiay of 11me 20Z, by ��Vld k'LAd. t who 15 rsonatiy known ✓L or has produced a as Identification. STAMP Signature of Notary Public Print Name of Notary Public tiY P "`•.. BRENDA R. DECARA Notary Rublft Slate of Florida Commission # GG 310775 y Camm, Expires Jul 1, 2l}23 Derided through National Votary Assn, PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECT ONE OF THE FOLLOWING, 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 comt3 ncing any work. There is a $50.00 fee for the Change of Contractor. � CHANGE 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 only if no work has been done. Cancellation of permit is to be signed and notarized by both the o\,vner and qualifier of record. There is no fee for cancellation of the permit. Date: _ _ Permit Number: 1, Site Address: 4 S_ICk 76 tir t r� L � S L � i ' 9 T `p A2�C4-t'_Teck ? [ 4M, 6 % v1 State License SLC License Original GC, subcontractor or owner%builder ff P I Lamb c VI �� - �. State License FC.1 LC License �� 14 New GC, subcontractor Reason for Cancellation The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees frog 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. SIG3> AT"L'RE OF 0WNT-R (or o vner/builder) PRIM I AN_ Qv _ n State of Florida County of St. Lucie County fhe following instrument was acknowledged before the this fct " day of � 7'I t' 2f3 �:t -( , by ^_who is own to me or uho has produced as ID. f Signature of Notan- Hate NCA R. DECARA Rev`fi/Mary public - State of Florida Commission = GG 310775 cF My Comm. cx�ires jLl 1, 2023 Borrdet _r. ouer, `--amn-1. Notary Assn. SIGNAItKE GENERALRT © W'ne�v GC, as applicable] PPdN-r NAMEA �J)A\% t � 4:�> eCa& J�n State of Florida. Coup-ty of Si. Lucie County The follov.ing iij,* ent was acGnowkdged before me this �ay of Ci�PC;.�Ct i +1 utv is nersonalic kn�rt�t to me or who has produced as T.D. Signature of Notary Date o1pa?�,; ERENCA R. DECARA ?;Y1 Notary Puhlic - Slate of Florida Commission A GG 310775 y�cF' My Comm. Expires Jul 1, 2023 ?crded through National Notary Assn.