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HomeMy WebLinkAboutCHANGE OF CONTRACTORSCA GNEU BY fib .�- PLANNING & ,©`'EW[Y1 P911PkN�r SERVICES " BUILDING & ZONING DIVISIO`' • 2300 VIRGii\tIA AVE f FORT PIERCE, FL 34982 (772) 462-1553 , FAX 462-1578 0 PLEASE, suo cr CHANGE OF co -,TRACTOR — C•hange of Contractor ii to be signed and notarized by the properv, owner, and the new contractor ofrecord for the current permit,. new permit application must alit).be.coniplctcd with new contractor information and sisnature, A new Notice of Commencement must be tiled in the new contraetor's name tier job values greater than S2,500 ($7,500 if .A C' Change -out). A recorded copy must be submitted prior to commencing any work. There is a S50.00 fee for the Change of Contractor. MANGE OF SUBCONTRACTOR -- Subcontractor changes are to he completed by the generic) contractor. The new subcontractor must till out a Subcontractor Autreenicnt Form. There is a S50.00 fee for the Change of Sub - Contractor. CANC'Fa.i.: TION 01' PERMIT -- nie cancellation of a permit is acceptable only if nk) work has been dome. Cancellation of permit is to he signed and notarized by 'both the owner and qualifier of retard. 'There is no fee for cancellation of the permit. Date: � •� � Permit Number: Site Address: Dko Ca���� __I Lytil t� ��1.—) _._ State I.irt:nstl—�!'�'ST.t` License .. - .....m Original CiC',hcuntracwr or uumr builder LuState Licen �' L, 2' a SI.,C License New (it', subcontractor Reason for Cancellation The undersi__ned does herebp agree to indemnify and hold harmless St Lucie County:`it, officers. agents and employees from all costs, fce or damages arising from an\, and all claim; of action for any reason. wlttch may arc a as a result of this change of contractor -uhcontractor or ancellation orpermit. A permit cannot be cancelled if work has been performed. A �lll(I'ulli\��I:It(nrsx�narhudderl-•._ �ttt�\Ittthlil`Itt\I,Cal�Ili.\t Ic)Ettornc��cic,.asapphcahlcr L(v"i co �f�Jlt��)) MINI NWll- State yrf Fltmdr: ('atuntti ot3t l.uaic ('ntnu; i 11c,Lfijlitmm, m.1 ument,tu;nhcl`ur. tncthii w iri pte!a sna I l nown to the or whd hapr -tl as [[) Signature of Notar+ Date State of Ionda•Count%ofl1 ltiocCounn 'the lidlowmg insmunent was acknowla tecd hdorc me tht, day of 20, h} who ii personall} known to me or w hu has pttulue�•tl as 1[) ;Signature of Notar.% pate yt, P b­ 8'ate o� 1 Florida •tot d °,r inc,dr.�.t ronu ..` 11 n ir4; �.vttunisian uG 020251 I PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Meek & Sans Plumbing, Inc. Name) the Plumbing S (Type of Trade) For the project located at (Project Street Address or have agreed to be )ntractor for D R Horton (Primary Contractor) bl to C o�bL o(L . Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. . CONTRACTOR SIGNXTUR Mualifier) Brian W. Davidson PRINT NAME CRC1327068 COUNTY CERTIFICATION NUMBER Stale of Florida, county or Brevard The foregoing instrume33y signed before whryd5 personally known _or has produced a as ide i ieation. Signature of Notary Public Sandra Leone Print Name of Notary Public Revised 11116/3016 t �' David W. Meek PRINT NAME CFC057372 COUM1"rY'CERTIFICATION NUMBER State or Florida, County of The foregoing instrument was signed before me 1bls2�dayof t2;1•by who is personally known _or has produced a Sandra Leone Print Name or Notary Public STAMP 0