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HomeMy WebLinkAboutChange of Contractorr- Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Fax 462-1578 CHANGE 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 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: 8/25/14 Permit Number: 1404-0008 Clubhouse Reno Site Address: 1916 Perfect Drive 4OFt'ff: C—Qr► qRN1 State Licens :�� " 1,11141 SLC License 2466 Original General Contractor (or Subcontractor) . Kast Construction, LLC State License New General Contractor (or Subcontractor) Reason for Change Changing from owner's representative to General Contractor SLC License 4-1 % 5 5 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/subco actor or cancellation of permit. A permit cannot be cancelled if work has been perfor ed,;, 'OKA, A 4 il-A 0 k2l A SIGNATURE OF OWNER (or owner/buuilder) PRINT NAME Irk Ai'i 6 ! y- State of Florida, County of St. Lucie County The following instrument was acknowledged before me this day of ,, 20Nby Ck w L YY wh s personally know to me or w produced as I / Signature of Notary Date * SIGNAT1W OF NEIV GENERAL CONTRACTOR PRINT NAME State of Florida, County of St. Lucie County The following instrument was acknowledged before me this di day of , 20 J by_ J_AA . 4 Qbftjq%� who is personally know me or who has produced as ID.. qZ4�p. t.. :�s sxs,,4� Signature of Not y, Date e`a.6\ 0 *Only signature required for change of subcontractor Revised /2�ih, , ANNEW T. 8LASBAND is Notary Public • Steb o1 Florida ;y .4 My Comm. Expires Jul 21, 2017 �:;,o ������..•' Commission A+ FF 037950 poi+wi' LISA FIELDS r• ¢� a, Notary Public -State Ot Fioride'' • My Comm. ExplreSAct 111, 2017 _.�. Commission +F FF 059a9 �'�.9�;t�`'�, BondadTArquphNrtlmlf Planning & Development Services Building & Code Regulations Division 230D Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Fax 462-1578 CHANGE 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 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; I •2 - I u Permit Number: )4 o 4 -oo5V (,_1 v66vx Ray D Site Address: 1116 ?,er4 e,d State License �1O07 5 SLC License 2f.1 Original General Contractor (or Subcontractor) JA C reso►, CL C— State License C- rC NZ 10i SLC License New General Contractor (or Subcontractor) ReasonforChange �,yg)m Owtn,&r'S r,&nr-eseh+ ve_ `fn 6a 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 peror d. SIGNATURE OF OWNER (or owner/builder) ' SIGNATURE OF NEW GENERAL CONTRACTOR PRINT NAME Chas'{ -►'he 611121IW14y PRINT NAME _0DAYI DI A- CIWSON State of Florida, County of St. Lucie County The following instrument was acknowledged before me this 3 day of , 20JYY, by 1k,vi 'hi ✓Pir h rs persoaully know to me or has reduced as ._... 9 Signature of Notary Date State of Florida, County of St, Lucie County Thep{allowing instrument was acknowledged before me this 4 day or SF'T - , 20 /y by ,340-T) A . C1WSvf1J who is ersonallyknot to me or who has produced as 1D. Signature of *Only signature required for change of subcont Revised 07/21/14 �ao�►" ti. AN NEWT. BLASBAND • Notary Public - State of Florida ` My Comm. Expires Jul 21, 2017 ;off ���.••`� Commi"lon # FF 037950 396•a153 DaWNDREA CUBA MY COMMISSION #FF110181 EXPIRES April 24, 2018 Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Fax 462-1578 CHANGE 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 -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: / 1 / .- / y- Permit Number: l `f'y L{ - OD D Y Site Address: r 9 to ?er-Fermi OKI yr L, 6-L -3q-1 ,? Cp State License SLC License Original gGeneral Contractor (or Subcontractor) C ✓-IC r<!✓v%I�Ovt State LicenseQ+e- fRI5i8d SLC License New General Contract or Su contractor Reason for Change 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. /LlJis•1� �— �NATU OF OWVNER ( otvnerlbbuilder) • St ,NA URE OF JW GENERAL CONTRACTOR PRINT NAME��'�.n►Y r «1j� PRINT NAME t�� J�✓ OLt%YI State of Florida, County of St. Lucie County The following instrument was acknowledged before me this I9 day of Il 116Mi+e , 2014 , by Jt man'/ who' personally know to e or who has p roduced Ale, Signature of Notary . Date State of Florida, County of St. Lucie County The following instrument was acknowledged before me this day of L(t3U20L4- ,; by_J &I �YO(Ol.i ♦vlto is personally L= to me or who has produced as ID. lrt�l Q1044� Signature of Notary Date *Only signature required for change of subcontractor Revised 07/21/14 �'•••,, ANNA E. SCHRADER 7629 MY COMMISSION Ii EE 8- EXPIRES: January 7, 2017 • PF,t:� Bonded That Notary PubiicUndervritm o�,AY P0, Notary Public State of Florida ? Daniela Naranjo My Commission EE115711 ?oF�o� Exp(res0712612015