HomeMy WebLinkAboutPermit 2008-0650 CancellationPLANNING & 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
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
the new contractor of record for the current permit. A new permit application must also be completed with new
tractor information and signature. A new Notice of Commencement must be filed in the new contractor's name
job values greater than $2,500 ($7,500 if A/C Change -out), A recorded copy must be submitted prior to
mencing 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.
new ubcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee far the Change of Sub -
CANCELLATION CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
ation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
ation of the permit,
)-2,114[?=�
Address:
GC, subcontractor or owner/builder
ew GC, subcontractor
for Cancellation
Permit Number:
License SLC License�'C�
tate License SLC License
ndersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all fees or damages arising from any and all claims of action for any reason, which may arise as a result of this change of
,ctor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed.
fANIIRb,OF OWNER (or owiier/builder}
NT NAME��`
Of Florida, County of St. Lucie County
following instrument was acknowledged before me this
_day of , 20_, by
who is personally known to me
who has produced as ID.
of Notary Date
sed 04/15/16
SIGNATURE GENERAL CONTRACTOR (or new GC, as applicable)
PRINT NAME
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of , 20_, by
is personally known to
me or who has produced as ID_
Signature of Notary pate