HomeMy WebLinkAboutCHANGE OF SUB-CONTRACTORWAMM ? _
B -,�
PLANNING��4�MMPMENT SERVI
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578 I
Z�
AUG 17 2018
Permitting Department
St. Lucie County FL
II CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
and7'the new contractor of record for the current permit. A new permit application must also be completed with new
co IIIractor 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 A/C Change -out). A recorded copy must be submitted prior to
cot I encing any work. There is a $50.00 fee for the Change of Contractor.
X CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
Th6 new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Co tractor. CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
ca IIcellation of the permit.
V
D 'te: 8/16/2018 Permit Number:
Sil Address: 6 1 C-06toW o`o-
Benjamin Drew State LicenseU:C 1_ti2_� SLC License
O ig tti altoaI GC, subcontractor or owmedbuilder M x^
Meeks and Son State Licens0006 la,
_SLC License
N8%v GC, subcontractor
R Jason for Cancellation
Tth'e 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
c ntracto subcontract r or cancellation of permit. A permit cannot be cancelled if work has been performed.
,NATURE OF OWNER (or o%%mcrbuildvr) SIGNATURE GENERAL C OtiTRACTOR (or new GC, as applicable)
P INT NAME PRINT NAiI1-:
_
of Florida, County orSt Lucie County
was actin ILdgLd before me this
by_
state orFlonda, County of St. Lucie County
The following msimment was acknowledged before me this
16 aay or Auaust , 20_j3 by
(/ who is personally known to me .personally who is personally known to
who ha nxtuced as ID. me or o as paxfuuYf._ as II)
///� 8/16/2018
gnu of Notary Datc Signal c of Notar} Uatc
v i s e d 0 l% 15 / 1_ c agv f Florida ��
S fotarY public State
�o��`v aua Sandra Leone
020251 � Y'us Notary Leo State of Florida
nk
R Commis GG °y� G; Sandra !cone
`�tiOF 4 V� Expires 0811 0 My Commission GG 020251
c-Wa?`"� 9e'�F J Expires 08/1012020
.o,rf�°to°'aa
# I i ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Meek & Sons Plumbing, Inc.
(Company Nametindividual Name)
the Plumbing
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for D R Horton
(PrimaryContractor)
For t Il a project located at 'Von co4io7�-
I� (Project Street Address or Property Tax ID #)
have agreed to be
It is 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.
Brian W.. Davidson
327068
State o � Florida, County of
Brevard
The lbi egoing Instrument was signed before me this D day of
2by
known ___.or has produced a
b'tA�tl'
Leone
'.f�r•ti .J YA.f���y .rrD��/'RY �S
I t/162Q16
David W. Meek
PRINT NASlE
CFC057372
COUNTY CERTIFICATION N011DER
State of Florida, County of _
The foregoing instrument was signed before me this 00day of
I by
who is personally known; r has produced a
as Callon.
' �' .... t-E:F��:. • STAMP
Sigaun uorNotary Public
Sandra Leone
Print Name of Notary Public