HomeMy WebLinkAboutREQUEST TO CANCEL2022-02-08 11:47 Savanna Club HOA 7723400522 >> HFR P 2/3
r:�r_;,� ;.; Y.m; � ��r; .• PLANNING & DEVELOPNZNT SERVICES
BUILDING & ZONING DIVISION
2300 VYRGEWA AVE
- FORT FURCE, k'E 34982
M2) 462-1553 FAX 462-1578
Q��4�i�TG1E:i OF CONTRACTOR. SLIBCONTi?ACTOR OR CANCELLATxON OF >PiE M
PLEA 5 3 M T tf UL S&L0WTNQ:
CHtkNGE OF CONTRACTOR — Change of Contractor is to be signed and noh d zed by the property owner,
and the nzr contiactar of record for the current permit. A new pmmit application must also be complettd witb new
ctvtractor kl6maation and sa$iaatwe. A now Notice of. Coimmencememt must be f ll ed hi the new contractors name
for job values &=ter thlalrt $2,500 ($7,500 if A/C Change -out). A accorded copy nest be subu itted prior to
cormtencing any work There is a S50,00 l"ec for the >Cltauge of Contractor -
MANGE OF SUBCONTRACTOR -- Subcontractor changes axe to be completed by the genes eouftaor.
The new -subcontractor must fill out a. Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub-
Contxwctor.
CANCELLATION OF PERNRT —
0mcelladon of permit is to be si med and K
cancellatlor; Of the perfit,
Dater
Site Address: 7901 MCCllatwk way
The cancellation of a pet dt is acceptable only if no work has been done.
niarized by both the owner and gaalfficr of record. There is no fee for
Permit Number; 2201-07%
UNIVERSAL AIR, ; VD HEAT State Y.1CC"k4c CAC055142 SLC License
Original GC, sad)ntractor or owtler/builder
Stan: t iCenst; SLC xdccasi
Nw 0C, subContr.9
reason for Cancellat4on '
The tmdeie� does beraby agree to indettlnify and hold hztrmi►•ss St Lucic County, its offlc=, agents mid employees from all
costs, fees or damages arising from any and all claims of action !or any reason, which my arise as a result of this change of
conUactar/aubcoxrtruwr or mcclia44;i ofperrait, A penWt cannot be cancelled ff rvor h can pertorme&
SIGNATURE OF GWNER (or myaerltsttildet) SMA.T3]R£GiL{ 1i LL ACTC}l; arnCrv�C. asaPglicablt)
purer OAK
� Y} rlttrrrl AMB 4 . - - - tlLFORGONE
Smtc t�fFlvridu. Caut�ty of t. i.i C County State of Pbsida, ComttY of SL t Hein cc"
The following bamnrmt i L sadm&4cigod bdhmme this The following ieatrtaaant was =i=wWvd befbm wthla
!—day of FEB by day OF p? ,by_� Y
— %4w is pem=Tly Imown to mt •vha is rape . rrnaily3mmm to
r Wha bAn Pradna as 111J. MOM, S ID.
' 17122 2RM
31ps"r> erNabnT Daft Sigh ourt of Notery Dste
+�� FR�NCF5FL1EN2htiIC4
Revised t141WIS _ .^y e
FRANCES ELLEN ZARICK ; ;3 ;1-; .Notary Polk .1tue'af rfarloa .�
?: ? ; %: Notary Public - State of'Florida ;s ;�jL.ommissfooi 9.G'::35Q789
't jr., '� Commission N GG 350789 T •rcr� Myfaaim Cx�i[rsG[; a, �013
fl My Comm. Expires Oct 4, 2023 IIo+.6d.(l ougjt NW6nal'kptary M ,
Bonded through National Notary Assn.