Loading...
HomeMy WebLinkAboutcancellation of noticePLANNING & 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 commencing 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. 'Wl'a© 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: 7/9/2021 Site Address: 7805 DEER PARK AVE. FORT PIERCE FL. 34951 BELLWETHER ELECTRIC COMPANY Original GC, subcontractor or owner/builder N/A New GC, subcontractor Permit Number: 2104-0954 License EC13004122 SLC License 26154 License N/A SLC License N/A Reason for Cancellation OWNER DID NOT WANT TO PURSUE WORK WITH BELLWETHER ELECTRIC The undersigned does hereby agree to indemnify and hold hannle icie County, its Mcers, agents and employees fron c s or damages arising from any and all claims of action f any ason, which m y arise as a result of this change of ont t /subcon c or or cancellation of permit. A permit can of b an Iled if oIt= d. SIG OF NNE (or owner/builder) SIGNATURE GENERAL CONTRACTOR (or new GC, as applicable) PRINT NAME CHARLES HOPPMANN State of Florida, County of St. Lucie County The following instrument was acknowledged before me this JULY 20 21 ,by CHARLES HOPPMANN who is personally known to me /p(wt s produc as ID. 7/9/2021 Signature o tary Date gig tate or Florida Revised 04 GG 23 355732 023 PRINTNAME CHARLES HOPPMANN State of Florida, County of St. Lucie County The following instrument was acknowledged before me this 9 day of JULY . 20 2' , by CHARLES HOPPMANN who is personally known to Z.: r h s prods IZ_as ID. 7/9/2021 gnature of No ary Date _.Yo Norary Public State of Florida a� Christine Craveiro , My Commission GG 355732 Of 21J df Expires(lVie2023