HomeMy WebLinkAboutChange Of Contractors„ Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462.1553 Fax 462-1578
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
i
Change of Contractor is to be complete
current permit. A new permit applic-,
signature, and transfer fee. A new Not
name for job values greater than $2
submitted prior to commencing any
contractor. Absent extenuating circun
owner and qualifier of record.
Date: 1-2'itf
Site Address: 114 N,4, 4 V1,.,I -
r the property owner, and the new contractor of record for the
i must also be completed with new contractor information,
of Commencement must be filed in the new contractor's
) ($7,500 if A/C Change -out). A recorded copy must be
rk. Subcontractor changes can be completed by the general
ices, a cancellation of permit is to be executed by both the
Permit Number: 140 W -009 3 W.
. �+ COnI. SU_►� I --State License . iSLC License 2 44
Original General Contractor (or Subcontractor)
A'S? L `N A t-z' �(�_ P b", + State License SLC License
New'General Contractor (or Subcontractor)
Reason for Change
to CAA- ra ( Cqr
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/setor or cancellation of
permit. A permit cannot be cancelled if work has been performed. • - - ubcon
Sl ATURE OF OWNER or owner/builder) V SIG
'WURE OF NEW GENERAL CONT C FOR
PRINT NAME kowne 6'q PRINTNANM , )(t `%'` V` k(kqL-; a"0-
State of Florida, County of St. Lucie County State ofFlorida, County of St. Lucie County
The following instrument "was acknowledged before me this The (following instrument was ack�nolwledged before me this
3 day of is i. 20+baby S day of�. 20J� by �Q AO C� ,
k/9%h C tiM,"O' wh[-s personally know tam �6`is personafly kno`t� me
ord ID. � / or who has produced as ID.
-iT)T�
iq
Signature of Notary Date goature of Notary a e p — `
,``,iN�ac J t
*Only signature required for change of sub n raa otor
ZV.\
ANDREW t"BLASBAND
= Notary Public - State of Fluids
c My Comm. Expires Jul 21, 2017
•:} of F�e:O Commission # FF 037950
M MACKINbAY
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HEATHER
COMMISSION WgE03143t3
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EXPIRES October,03, 2014
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Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Tort Pierce, FL 34982
(772)462-1553 Fax 462-1578
1
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed ipy 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 ($7,500 if A/C Change -out). A recorded copy must be
submitted prior to commencing any lvork. Subcontractor changes can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Date: 9 •2 - M
Permit Number: l u 0 LA- 00 b 3 N ti w 9
Site Address: 19 ib
„A�/r
' CI' �ON$ ]�� 1`I State License ' ;rm/.3 3LC License
Original General Conrractor (orSubcontractoi)
.JA L ros on U c State License CR-- Jy26 4 0� SLC License.
New General Contractor (or Subcontractor)
ReasonforChange hom Qwvt,*,r'S rfnreser-l-vr_ -In GtrarrLI a-, ,4
The undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its officers,
agents, and dmploydes 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 contractorlsubcontractor or cancellation of
permit. A permit cannot be cancelled if ivork has been pe " ed.
c lr'U17 r 1 (•'t✓1/
SIGNAT OF OWNER, (or owner/buiIder} " SIGNATURE OFIBV GENERAL CONTRACTOR
PRINT NAMGE�Ii c�rlt�l 604 1
State of Florida, County of St. Lucie Cauuty
The following Instrument was acknowledged before me this
3 day of, 20A by
(kif . ✓h who i eraonally know to me
or who has produced 1 95 as 111
Signature of Notary Date
FRINTNAia —V,4U1I) F}. CfWSOA)
State of Florida, County of St. Lucia County
The following instntment was acknowledged before me this
=2 dayof .5&p7-- 2oly by
3XIJ) R . CaC,50A] who i ersooally�'�lo 010, to me
or who hps produced as ID.
Signature of No
*Only signature required for change of.subcontractor
Revised 07/21/14
�wurp
�Yp°e''� AWNEWT.`BLASSAND
Notay PUMIC • $ate of Florida
My Comm. Expires JW 21, 2017
MW Commission #-FF097950•
390.0153
ANDREA CUBA
MY COMMISSION #FF116181
EXPIRES April 24, 2018
E L_f
Planning & Development Services
Building & Code Regulations Division
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: / 1--1 i7-1 4
j� Permit Number: / �D Ll — DD 4 3
Site Address: q l l Q✓4 �e e % /Jvj ice, AL-, A- '3LFgY/P
State License SLC License cl
Original General Connt�ra`ct aL&ubr
-pie �} �'✓ t-0" ✓��� -►� �^ State License 4146 /}?)5'79bSLC License
New General Contracto r ubcontractor)
Reason for Change 014J1-19L
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 it cannot be cancelled if work has been performed.
_ t
S \ATU • OWNER (o vner/builder) * SI E OF NEW/ GFNERAL C TRACTOR
PRINT NAMEy: �� �`-' "�J PRINT NAME Ww1t ee 9✓OLD M
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
lQ dayof tl0tleAhV,20Aby 31A,2
Terry who is p pally know to to
or who h s produced as ID.
Signature of Notary Date
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
V_dayoofhJa& gP,l , 20j I�}, b
Ty
T Intl:/ 6moh' who 1S aC6 pally know to me
or who has produced as ID.
►-)CJn telCl tclw< Er t -1 B-I 4-
Signature of Notary Date
*Only signature required for change of subcontractor
Revised 07/21/14
Rt tit i
.titer '+ t' %, SCHRADER
MY Cotdh,ISSI'JS 9 EE 847629XPIRER •.t..:!'r
- Ey 7, 2017
.Pf��tr`
Mad
Tht a N:a trf i r. Underwriters
�. d,
.
Notary Publle State of Florida
Danlela Naranjo
•
My Commission EE116711
4o '
Expires 07126/2016
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierci6JL 34982
(772)462-H53 Fax 4624578
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 lof Commencement must be filed in the new contractor's
name for job values greater than $2,500 ($7,500 'if A/C Change -out). A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed"by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Date: 8/25/14
Site Address' 1916 Perfect Drive
LH Construction
Original General Contractor (or Subcontractor)
Kast Construction, LLC
New General Contractor (or Subcontractor)
Permit Number: 1404-0063 New Building
tec/1,01:5
StateLicense SLC License Ze-de_
State License
Reason for Change Changing from owner's representative to General Contractor
SLC License a-1 % 5 5
The undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its officers,
agents, and employees from all costs, fees, or damages arising from any and all claims of action for
any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of
permit. A permit cannot be cancelled if work has been perfor
MdRkfuRg OF OWNER (or owner/builder) I *SIGN O W GENERAL CONTRACTOR
PRINT NAME ChrrSWhL L 4v '^ PRINTNAME .
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
3 day o6p)IC-6V 204, by
cWshk Cgina � who i personally know to me
or o has produced as
Signature of Notary Date
State of Florida, County of St. Lucie County
The following instrument was ackno kedged before me this
.� S-ay of l. 20Mby Ca.,
Q t^CCj.L who is personally knosto me
o�vho has produced as ID.
Signature
signature required for change of subcontractor
4 AW NgW T.`e "$AND
Notary PY01k - Se of :florida
My Comm, EydnaJul 21, 20117
COW110110 N,FF 037950.
Date MXAA 1
��•NI��4,• LISA FIELDS ••r,..,•:�_: r...t
Notary Public - State of Fforids
_ • : : �; My Comm._ Expires Oct 10, 2017
�F COMMISSion #► FF 05N89
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