HomeMy WebLinkAboutCHANGE OF CONTRACTOR^� SCANNED --�
St. Lucie County
PLA`INING & DEVELOPMENT SERVICES
5 - • ''t BUILDING & ZONING DIVISION
° 2300 VIRGIN'IA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE OF CONTRACTOR. SUBCONTRACTOR OR CANCELLATION aTIO` OF PERMIT
PLEASE au[:CT o E.OF I'l [E. FOLLOWING:
✓''Cl1AN(;F OF CONTRACTOR — ChanC_e dcontractor is to be signed and notarized bathe property° owner,
and the nett' contractor of record for the current pertriit. ,a new permit applit iition mo t also be contPleted With nee
contractor inrormation and si+,nature. A new Notice of C'onunencenient int st he riled in the new contractor's nanic
for job value; greater than S2,500 (S7,500 if AC Change -out). A recorded copy Must be submitted prior to
commencing am' work. There is a S:+0.00 fee for the Change of Contractor.
CIIANGF OF SUBCONTRACTOR — Subcontractor chan�,es are to be completed b%:'thc _+encral contractor.
The new subcontractor tnust fill out a Subcontractor ;lurcement himn. There is a S50.00 fee for the Chance of Sub -
Contractor.
C .NC;N LL\'I"ION OF PERMIT—'Che cancellation of.,a permit i 4ct eptable only if no work ha been done,
Cancellation (if permit is to he signcd and notarized by both the owner and yualilier of record, 'There is no fee for
cancellation of the perntit.
Date: Permit Number:
Site address: -
VVl ty\, �-State I.iccn C1r_N( Y C' License
Original GC;. • ihcontractor or owner builder
State [.icensc Il, � S[.C' License
Neic GC, subcontractor
Rea -ion for Cancellation
The undersigned does hereby agree to indemnify and hold harmless St Lucie Ciutnty.' its officer:. agents and emplo�ces from all
co-;,,,, fee:; or damage; arising from am and all claim; of action f6r any rya;on. tt hich may acre a a result of this change of
contractor, •ubcontractor or ''ancellation ofpermit, A permit cannot be cancelled if work has been perforated.
IIKFuI0)1 m—Kl++ruunerbudd^eyrt Stii�111`k! (il;�lk�l (`t)`ik_1t'}tlku+rncwciC,a:spphtahhr
5tau ol`i•lontts. Count. of Nt. Lucie Coutu)
I e fiollua tng tnArunicni :kus act:now le k,&:d below. me the
QJ. ai �__t
or.who hs pr -d a
I1))_� z�1X�F _
Signature of Notar) Date
tiGacof'Finnda. ( ounn ol'at I tiocOmni%
the li+ltowmg m.truawnt bclbre me the;
oho N pcnanath I+nawn u+
me or who hag pnrduced_a, 11).
Signature of Vutar) Date
,''^'r , ''•i
'r
+:•Ar',j. Nctary R'.1blic State of Ftorida
D Sandra Ludne
r oK My k%mm,ssion GG 020251
)o%E+cp,rcmCt311df2020
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Meek & Sons Plumbing, Inc, have agreed to be
(Company Namelindividual Name)
the Plumbing Sub -contractor for D R Horton
(Type of Trade) `` (Primary Contractor)
For the project Iocated at 31�1 Je- SWhe- �-
(Project Street Address or Property 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.
CON'TRACrOR SIG, oulifier)
Brian W. Davidson
PRINT NAME
CRC1327068
COUNTY CERTIFICATION NUMBER
State or Florida, County of Brevard
The foregoing instrument was signed before me this ^o diy of
zo I:,Z,y
known _or has produced a
5Tmop
Sandra Leone
Print Name of Notary Public
Y`y, f Shp-!..�r`y '•i�.4t,f~'
Revised 11J16P-016
David W: Meek
PRINT NAME
CFC057372
COUNTY-CERTIFICATION,NUNIBER
State of Florida, County of_._.
The foregoinj Instrument
was signed before me thif `Z` day of
by
who is person y known _or has produced a
a'cation. %may
STAMP
Sign Lure of Notary Public
Sandra Leone
Print Name of Notary Public