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Home My WebLink Aboutvoid letter PICOUNTY NG 8 DEVE (31YsNT SR`�TCES $UI�DING,& �O1�ITNG,D�SI(4N 23OQ VMRG "E Us O�RT PIERC: ;FL, 34982; (.7 4�r�-�155 A 46 1578 CHANGE-,OF CONTRACTOR;SUBCONTR�CTOR OR CANCEL)GA'TZO1�I OF PERMT PLEA99E SgUMONE of TI IIr EMLa ING CHANGEOF Ct7NTRACTOR Change of Cdntracfor Is fo be signed and'-notarized by�tiiefproperty owrie; and e,new ebtttradfdr of e ord for the cii retiti permit.A,new;pennit<,applieat on zn st also be completed vvlth,new eo actgr � ezmation aril_slgriature..A mew Notice:of Commencemerit must 6e filed in tide.new co rtzactor's; Name for,job val zes greater than $2,500 ($ ,500 tf A/ Change-o A recorded copy ;must he subrdit&d prior Co commencing-,,,.any,_work.Them> a$.5O,Q0 fee fgr tEhe, tiange,of Contractor._ CIEIANGE OF_S,_,BCO, ` 'CTOR .:Subcontraetor.changed;are to be comp'Iet;d& the general caritrai ton The new subc`oiitract0r•`;must fill;:oui a S-dbGOntraC.tOr,.Agreement Form,There is a SQ,00 fee for the;.Cfiange of.Si ti= Coniractor: —it—CANOLLATTON OF PERMIT—Thee cancellation of a,pernift-is acceptable only f,,;no work had been done. Canee�l464-of peziin-it is to be..,signed=and notarized by both,tfie owneY and quali ie> o zecorcl..Thiere-is no fee:for cancellafi6M o£the>perm t Da#e S>te Address: t Q�5 LC Original GC slilcontractaror owner/buil`ier _ __ _._ - ;State l;i'cerise _ SLC�License The underscgried does hereby agree to indemnify and'tald harmless,Stl.ucie..County,rts officers„agents and empToyeesiom all, costs,:des or ttamages ansmg fi`am any and alI claims;of act>on.for any reason,.whichmay:arise:as:a,r.,esult::oftFis-change.of co�tt?actor/subegntracfor or GaaCe�lahon of permit.�i_p'ernut cannot_be cancel,'d.if'wotklbas bee erfo ' red: SIGNATUREQI CSWNEIt(orowner/butldr) SIGNA:. G CONTftPcGTOR(drnewGC as'appiiceble} P> II3T NAME PRINTNAME S; e;qf Flonda,Coiudy ofS} Lucte Cow t State:ofFlonda:Coitnt�r o£$i Lucid C'iiiity Ttie-:folCovnng:iitstrument_was�cim9ledged before me t} s the iallgwmg m trurnentwas aclmowtedged before mehi`s �a-daypt=�; 20{ !:-y—n£P 1( ; who is personally known tome �1 1✓ji}ju 9!".1 le��f`- �ylto is yesobaliy knatm-to, _ or into has,pibdi3ced. - OVID;- e o who has plo t ed as ID rY tgnsturetlf.Now. D$te $ignature,ofNo,#a_::. Tlate: 5 ►y Ties sect ©4`/25/,l �sY Nolacq OIPt SWeotFbripa a° Dan►elk King, < -EI Y ;4 sion+GG'92Q955 ZROZ Expites 1012 orR..