HomeMy WebLinkAboutVoid Permit request _ PLAN.T4G& DEV TLOPMEN sERvtcEs
BUILDING&LONZti'G DI ISION
2300 VIRGMA AVE
FORT PIERCE, FL 34952
(772)462-1553 F&X 462-1578
CHANGE OF CONTRACTOIL SU6�CON,n'RACT0R OR CAhaLL 4TION OF PFRM'l
1 W f�F.,ST 033� 'F `(1' it.'F'\Ci:
CHANGE OF CON-FRACTOR-Crange of Cuntmclar is to he Signed and notnari zcd b- the preperty owner,
and the ntw art-wor of record or the rurrrlu ;>ernaL A new permt aplicitiu. mast also be cunlolmd with new
mat=tor idarmation and sipanct, A am Notim-of Cornrwncemeac MWv be Fled to the nt w ctartt actof t game
tur job taDuO greater thm S:..;W (S-1 500 if A,V C'tlanVAM). A re;xrdcd crap, mu.t 1v submitted pnor to
roaim=6ng any worL Therr is a i50.00 fee for the Cbaoge of Contractor.
(3WNGE OF SUBC:ON-MALTOR-Subeoln=(Y. eh.sngrs are to be eo ipleted by the general contractor
The arw strbcmltruetor nw=fill out a Subcontractor Agrocmem Form. There(s a S50.00 fee for the Cbinge of Sub-
Contractor.
_2L- CAINCEt.LATtON OF PF:RIM1T- the c.3mz?ation of a permit is acccptnble only if no work hu b=clone.
cmccunnon of pcmdt is to be stimcd and notarved by kv b the owner and qualifier of rcconl There is no (cc for
csaeellWain of the permit.
Date: _ Permit Number SLC 24r*-%08 _
Site Atidr ., x 8:48 Ramtsbw LStkac Davis
Stitc T iccw SLC Licce>=x!__+-_
{�Tt�iAal GC.subaf -un.cior er ewnC;l,uilder
Sacc C.iccnat SLC Licctsxc
New(A'.vjbCCXWWto,-
Reaz.--a for La=ealla rkm GC decided he,wat:id riot.;aver Temp Power Pole because of FP'eons bons.
The undm.i=cd dots thereby aver w i ukswiih-aril hold banntrlcs St i uric Cotmty.im afficr:x,agean and emp`,oyecs from:.3t
etn.ts.to=s or danzj-es at astng from any zu stl cLiv-4 or x1inn fo:err. ire,WhKh may sriat ys a result of-hts ch-n�e or
cu>zauwr:ssbcna-r ctoi or canccUu:ion%, pc.-•m:-t A permit cl t be elleei itwoe6 been performed.
0%'-%I R(tx aWfetClxaslder) a t'{ap„ Tr1Ct lar eew(it'.*4 smbca> :J
I'y.l't^ :tA�l:. S V R 51►t;N N i�R A N :A i -X� Joseph iiErndi)r1,St.
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NOtMV PUbk
' State of FkWW
• .. .. - + CornmN M11776S
to Em;res9/ulZO25 �Ailg,plei,� HEATHER BURFORD
ip c Notary Public-State of Florida
Commission# HH 218910
%Nd '� My Commission Expires
February 06. 2026