HomeMy WebLinkAboutCHANGE OF CONTRACTORPLANNING � � � ���v���s
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BD»G &.ZONING DMSION RECEIVED
2300 VIRGMA A
'��y� V FEB 16 2018
F09TT� PIERCE, FL34982
(772) 462-1553 FAX 4624578, ST. Lucie County, Permitting
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION. OF PIERMT ,
PLEASE SELECT ONE -,Or THE FOLLOWING:
CHANGE OF CON -RACTOR— 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 AIC Change-out)A recorded copy must. be submitted prior to
conpia,encing any work There is a S50.90 fee for't4e Change of Contractor.
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.
"IN'S CANCELLATION OF PERAHT — The cancellation of a permit. is ..acceptable only if no work has been done.
Cancellation of permit is to be signod and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: 2/15118
Site Address: 12394 Harbour'Ridge`Blvd, Palm City, FL 349,90
Permit Number: 18g1-0350
Aqua Dimensions -State License. CFC057526 SLC License
Original GC, subcontractor or owner/builder
South Park Plumbing State-License-CFC1426656 SLC License
New GC, subcontractor
Reason for Cancellation
The undersigned does hereby agree to indemnify and hold.harmless St Lucie County, its offtcers,:agents and employees fron
costs, fees or damages. arising from any and all claims of-acfion for any reason, whibli.may arise as.a result. of this change of
contractor/s b-contractor or cancellation ofpermit. A permit cannot be c.19goW if work ins. en p rforime&
SIGNATURE OF OWNER ((orr'ovvne /builder) S R.E CON-1-RACTOR Carr ne%v'GC; as appiicablYe)j
PRINT GAME Vy > �� PRINT NAME
Stateofplorida, County of St. Lucie County
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