HomeMy WebLinkAboutPermit 2110-0146 Cancellation:yiuiWYV
COUNTY
t t. OR m D
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462- 1553 FAX 462- 1578
CH kI (;E OF CONTRACTOR,StJBC �T I
Q. F -BE FCC LOIN _;.
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner..
and the uew contractor of record for the current permit. A new permit application must also be completed with new
contractor information and signature. A now Notice of Commencement must be filed in the new contractor's name
forJob vahm greater than $2,500 (7. 00 if A Change -out). A regarded copy must be submitted prier to
commencing any wo6z. There is a $50.00 fee for the Change of Contractor.
CEI NGE OF SUBCONTRACTOR -- Subcontractor changes are to be completed by the general contractor.
ii;�p>y,.y y� { ,,i , ontractor must fill out a ubcontractor Agreement Farm, There is $50. 0 fee fnr xhe mange of u
N C-ANC-F,t. IATION OF PERMIT — The cancellation of a permit is acceptable only if no work has done,
of permit is to be signed and notarized by bath the owner and qualifier of record. There is no frc for
cancellation of the permit.
)atit�: 1 >1812 21 Permit Number 111 1AA
Site Address: # 3266 Lakeshore Drive, Fort Pierce, FL 34949
DC constrocfjon & Company, Inc._ �.� __- _. � State License CGC;1507644 SLC" Licens
t)riginat CsE'. subcontr ictor or owner/builder
State license LC
New GC, subcontracior
a ':rti for Canccllatit< Homeowner relocating indefinitely for work
l'bc ;tttdersigned doct, hereby agree to it�ctellinity and hold fi,irmle t LW4 County,, i�oA� � C8191011ftstnaf
c s s. I�t s darraa es ari itig from any and all cl� has �.�1'a=.c t's, vi fcror saray rest-,n, i � ii e Of
coi I or`tbconti**ct�r or caticel atiort of permit. 1, permit e.innot lie a e `3fwrar
a, 111 ._ i , o ,.� �,! i .. k "IWO'
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DEANNA MCbERMOTT
a r'; Notary Public - State of Florida
GG ?o�dt My CommComm�ssion Expires actt 5432022
Bonded through National Notary Assn.