HomeMy WebLinkAboutChange Of Contractor64/11/2018 11:18 FAX 7724606929 WILCO 1L1.1001
4/10/2018 _ Print i
Planning & Development Services
ti 1 3 Building & Code Regulations Division
p 3 2380 Virginia Ave,
Fort Pierce, FL 34982
(772)462-LS53 Fax 462-1578
CHANGE OF CONTRACTOR
Or Subeoatractor or Cancellation of Pertait
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Change of Contractor is to be completed by the property owner, and the now eontmsetor of record for the
ctw=t permit. A new permit application must also be completed with new contractor infox'mation,
signature, and transfer fee. A now Notice of Commencement must he Idled in the new contractor's
name for job values greater than $2,500 ($7,500 3f A/C change -out). A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed by the genwat
contractor. Absent eMaUating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record_
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Site Address• 108M 8. OCEAN OR LOT 123, J1=n SEN BEACH. FL 349$7
1l WO 00NSTMOMN tNC IROSERTWWAPAS StaW License $yam :3' :51Ctfi _ SLC License 29175
Ortinai General Cootmutor (or subcocttactor)
Licen-k - - - --.._ SLC License_
New General Gortb color (or Subcontractor)
iieason forchartge OWNEROEcIMTONOT FAVEWMKC^. SQIC7. R CkWI0,PWMr --�-- —�- .
The undersigned does hereby agree to indemnify an4. hold harmless St. Lucie C 0__Untt•, US officers,
agents, and employees from all costs, fees, or danWes erising from any and all claims of action for
any reason, wWch may arise as a result of this Change of contractor/Subwutr=er or cancellation of
pormit.A p 4 cannot be sa celled Kwork has been performed.
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*Only signature requgrad for change of subcontractor
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RECEIVED
APR 11 2018
permitting Dep
artment
St. Lucie County ► FL
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