HomeMy WebLinkAboutchange of contractor (2)Planning & Development Services
d -' Building & Code Regulations Division
COUNTY 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: 12.22.2021
Site Address: 3902 Duneside Drive
Meeks Plumbing
Original General Contractor (or Subcontractor)
Permit Number:
State License
SLC License 18623
Master Plumbing State License CFC1428579 SLC License 27366
New General Contractor (or Subcontractor)
Reason for Change Not able to do the job
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.
SIGNATUREq �4—x r M/
F WNER`or owneidNrT W L C
0 ] PRIle rTORPRINTNAMEr
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of , 20, by
or who has produced
who is personally know to me
as ID.
Signature of Notary Date
FRANCES DONZA
i naMY�ulNflld1111 hange
EXPIRES: July 27, 2025
Re 3 p ; #V,�&d Thru Notary Public Underwriters
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of , 20_, by
who is personally know to me
or who has produced as ID.
Sig�UC�,silt�oJary FRANC NZA
;.. MY COMMISSION # HH 111471
of subco rF oP : EXPIRES: July27.2025
P,"�,,; Bonded Thru Notary Public Underwriters
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ompany Name/Individual Ndme)
the
(Type of Trade
For the project located at
(Project Street
have agreed to be
Sub -contractor for 194
( imary Contractor)
or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
C/
COIYrKACTOR SIGNATURE (Qualifier)
a ��
NAME
&'d't - l��a 3g�t
COUNTY CERTIFICATION aNUER
State of Florida, County of
The f egoing i trument was signed before me this Z day of
• Zq, by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Pu is
4>ve!�eIS
Print Name of Notary P FRANCE OONZA
ti�rivou.
MY COMMISSION # HH 11147
Jul 27, 2025
=•: EXPIRES. Y
Notary Public Underwriters
B "''rFOPF�gQ� onded Thru
Revised 11/16/2016
PRINT NAME
Z%3 C�� GAG z�s7
COUNTY CERTIFICATION NKER
State of Florida, County of—," _ AX-14-�
The foregoing Instrument was signed before me thi AA __ day of
202/ by e` '
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public 1
Print
MY COMMISSION # HH 111471
EXPIRES: July 27, 2025
Bonded Thru Notary Public Underwriters