HomeMy WebLinkAboutletter from contractorGH M 0
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TRIC
St. Lucie County Florida
2300 Virginia Avenue
Fort Pierce, FL 34982
To Whom It May Concern:
RICHMOND ELECTRIC
3086 ENTERPRISE ROAD
FT. PIERCE, FLORIDA 34982
TELEPHONE #: 772461-1951
FAX #: 7772-4614907
As qualifier for the above referenced company, I am requesting to be removed as a sub-
contractor for referenced permit number 2108-0632. I certify by my signature that
neither I, nor my company has performed any work on this permit located at 5141 Dunn
Road Fort Pierce, FL.
Thank you,
Christopher W. Richmond
Notary as to Sub -Contractor:
Deana Mirabella
=&Deana
ate of Flortda
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Sworn before me on this 10 day of February, 2022 3876
23
Personally Known X Produced ID Type of ID
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
�COUNTY2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING:
CHANGE OF 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 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. There is a $50.00 fee for the Change of Contractor.
X CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Contractor.
a CANCELLATION 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 both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date:
2/10/2022
Site Address:
5141 DUNN ROAD
Permit Number: a) % 6) Z _'"
Thomas E. Richmond Electric, Inc. dba Richmond Electric State License ECO001963 SLC License 17642
Original GC, subcontractor or owner/builder
State License SLC License
New GC, subcontractor
Reason for Cancellation No manpower to do work.
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.
SIGNATURE OF OWNER (or owner/builder)
PRINT NAME Christopher W. Richmond
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
10 day of February 20_�!__ by
—
Christopher W. Richmond who is personally known tome
ox who has produced as ID.
2/10/2022
Signature of Notary Date
Notary Public State of Florida
Revised 04/15/16 r� Deana Mirabella
I iy Commisslon
IIII �H 203a76
Exp. 8/12/2023
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
L0 day of February.—..�+ 20— by
is personally ]mown to
me or who has produced as ID.
2110/2022
Signature of Notary Date