HomeMy WebLinkAboutBaker, Cindy - Permit Cancellation Fomr 1112021Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1579
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 (S7,500 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: 10251MI
Site Address: 7402 Ocala Ave. Fort Pierce, Fl 34951
Permit Number: 2110-0645
Anthony Fenn State LicenseCACt820274 SLC License
Original General Contractor (or Subcontractor)
NonelCancellation
General Contractor (or Subcontractor)
State License SLC License
Reason for Change Customer requested cancellation of project.
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,-,,,
kGNATIJRE OF OWNER (or ownedbuiderl )
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State of Florida, Cotmty of St. Lucie County
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