HomeMy WebLinkAboutCHANGE OF CONTRACTOR/
BY
PLANNINGMW05EnLAPME`T SERVICES
BUILDING &ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 . FAX 462-1578
CHANGE OF CONTRACTOR. SUBCONTRACTOR OR CANCELLATION OF PERMT
�`l� ✓ CHANGE OF CO.\'TRACTOR — Change of Contractor is to be signed and notarized by the pruperty owner.
at 'I'd the new contractor of'record `for the current perntit..A nL:w permit application must a6o be completed with nea
c( 111 ntractor inrorination and signature...\ new Notice of Commencement must be tiled in the new, m contractor's nae
for job values greater than S2.500 (57.500 if AC Change -out)', A recorded copy" mast be submitted prior to
ct I nimencing any work. There is.a S50.00 fee for the Change of Contractor.
CII:IIGE OF SUBCONTRACTOR --Subcontractor chanucs are to be completed by the general contractor.
'fie new subcontractor must till out a Subcontractor Aureenient Form. 'There is a SS0.00 fee for the Chunk of Sub-
- antractor.
CANCELLATION OF PERMIT —The cancenation of a permit'i acceptable only irn'p.work�ha,.been done.
Cit nccllation of perinit'ia.to be siumcd and not:iri-ved byboth the owner and yualitier ol'lewrd, There is no fee for
c ncellation of the permit.
Date: Pertnit lumber: V �0
Sil a Address• c%1on
l/l kj(-1 0VA ��-L� State [.iccnstc'7C' license
(Irigginal GC. tbconiractur or owner builder
e�iv GC, subcontractor
�a,on for Cancellation
Licen,� .ShC Liccn�.
undersigned (toe, herebv agree to indemnify and hold harmless St Lucie County. it; officers. agents and employee,' f?om all
fee, or damages arising front am and all claim; of action tier any reason, of hit h may arise a, a result oJf ih > changtt of
ractur,,;uhcontractur ort:ancellation of permit. at permit cannot be cancelled if work has been perforated.
._UI"f(it){`U\1titilt(or uunerbudJerl 51(i\.\1l[Llitil,tik\I;.C1)Soli.\c'Ifllitdrncµ(t( ,t,:appftc:thlcr
PRIM N,VMV,
nc of Flon(Ia. County of fit. Lucca Cout* State ot'1•Innita. Count% of St. I uctc Count%
tidlot� tna m,ttumtrt wu: ucknrn�lede�Kt hcti>r: me tht. 'I he fi+tlu«tn-,, in.truntent was acknkmledged heiizre the thi:
_da) or. _. 211: t1 } of '+)_shy
_ 0.•. CLt4 a o is personally knoµn to me µho t; perwrtath t.mmn to
Who ha Pr ' ed as 11) me at µho has produced as It).
:nature of. Date Signature of tiotan Date
. L3=..�, ��. •,:, • .�.. .";' ,, ��: � ,r NotDiy ilt:Sfatrta}sort a
Sandra Leone
• , •o My, Commission GG 020251
r r 4 ui c�oe Export s 0811012020
'7
Y
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division '
BUILDING PERMIT '
SUB -CONTRACTOR AGREEMENT
Meek & Sons Plumbing, Inc.
(Company Nametindividual Name)
Plumbing Sub -contractor for D R Horton
(Type of Trade) (Primary`Contraetor)
the project located at
"6(p1-) Cp\4i 1
Street Address or Property Tax I #)
have agreed to be
Itlis understood that, if there is any change of status regarding our participation with the above mentioned
the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
of a Change of Sub -contractor notice.
W..Davldson
327068
or Florida, County of Brevard
regoing instrument was signed before me this day or
20 ( by
personally known ___or has produced a
Si A -UP
Leone
David W. Meek
PRINT NAME
CFC057372
COUNTY CERTIFICATIO\ NVINIBER
state of Florida, County of___.
The foregoing instrument was signed before me this day of
.2t)• by
who is personally known or has produced a
as cation.
"(. STAMP
Sign A ure orx. ry Public
Sandra Leone
Print Name of Notary Public
fW
Jrwt SG
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