HomeMy WebLinkAboutCANCELLATION OF PERMITPlanning & Development Services
7 Building & Code Regulations Division
2300 Virginia Ave. SCANNED-
• Fort Pierce, FL 34982 BY,
(772)462-1553 :Fax 462-1578: St Lucie County
CHANGE OF CO T- IR
Or. Subcontractor o 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 fled -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 t0 commencing any work. Subcontractorchanges 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' APRIL 10, 2018 - Permit Number' 1712-0723
Site Address-. 168 CAMINO. DEL RI0
WYNNE DEVELOPMENT CORPORATION State License CGC03599: SLC License :08898
Original General Contractor (or Subcontractor)
N/A State License SLC License
New General Contractor (or Subcontractor)
Reason for Change ' BUYER DECIDED NOT TO BUILD ON THIS LOT
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) * SIGNATURE OF NEW GENERAL CONTRACTOR
PRINT NAM2� PRINTNAME MATTHEW LYLE WYNNE
State of Florida, County of St. Lucie County .. State of Florida, County of.St. Lucie County
The following in trument was acknQQowled d before a t//h��i''s\\ The Ilowing i frame t was ackno ledge efore a is ''� \\
I day f" . % ... 20 � 0, by IJ✓ day of c� 207by .�J . "
0- who is personally know to me L who is personally know to me
ho has produce - as ID. ho as produc f s ID.
l l J ll II n C 1 4 0� _Uoi-'� I �� /l .-fc-i�
%hafure of Notary Date 8Wnature of Notary
*Only signature required,for change of subcontractor
Revised 07/21/14
E1&::E11plr68j0/16/2020
ry Public State of Floria
•.Ninassiommission GG 0$8942
Date
Notary Public State of Florida
JUlle Ninassi
My Commission GG 038942
Qefo; Expires 10/16/2020