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