HomeMy WebLinkAboutChange of Contractor 6202 E Seminole RdPLANNING & DEVELOPMENT SERVICES
BUILI)ING & ZONING DIVISION
r s
2300 VIRGINIA AVE
FLIRT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANCE Or` CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PE, Rlir T
PLEASE SELECT ONE OF TIME %flLL4WING'.
CHANGE OE 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 naive
for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must to 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 now subcontractor must fill out a Subcontractor Agreement Form.. There is a $50.00 fee for the Change of Sub -
Contractor.
CAl1tCELLATION 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 bath the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: - - Permit Number:
Site Address: 6202 E Seminole road Fort Pierce FI 34951
Proroofer/ Kirenia Nunez
Original GC, subcontractor or owner/builder
State License ccc1332791 SLC License
_. State License"_- SLC License
New GC, subcontractor
Reason for Cancellation
The undersigned doses hereby agree to indemnify and hold harmless St Lucie County; its officers, agents and employees from all
casts; fees or damages arising from any and all claims of action for any reason, which may arise as a result of this chance of
con etor/subcontractor or cancellation ofpermit. A permit ra ssriot ter if work has Ween perts� rd.
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State offlorida; County of St. Lucie County State Ur# sa%4 t' pim) OM t t.caet'ouas)
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