HomeMy WebLinkAboutCHANGE OF SUB-CONTRACTORSCANNED
BY C
St Ludecoontv
PLANNING & DEVELOPMENT 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
CHANGE OF CONTRACTOR — Change of Contractor is`to`be signed and notarized by the property owner,
the new contractor of record for the current permit. A new permit application must also be completed with new
tractor information and signature. A new Notice. of Commencement must be filed in the new contractor's name
job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to
Imencing any work. There is a S50.00 fee for the Change of Contractor.
_CHANGE OF SUBCONTRACTOR — Subcontractor changes are to:be completed by the general contractor.
new subcontractor must fill out a Subcontractor Agreement Form: There is a S50.00 fee for the Change of Sub -
CANCELLATION OF PEILNUT —The cancellation of a permit is acceptable only if no work has been done.
Batton of permit is to: be signed and notarized by both the owner an.d giWifier of record. There is no fee for
ation of the permit.
41/04t2019
ginal'GC, subcontractor or owner/builder
Gregory Kozan
GC, subcontractor
for Cancellation Meeks Is off the Job
Permit Number;
License CFC057372 SLC License
License CFC057754 SLC License
fees or' ; ages arising from any and all claims of action for any reason,
_ clot' contractor or cancellation of permit. A permit cannot be cancel
ATURE OF OWNER (or ownerlbuilder) SIGNA'i
NT NAME Btian W Davidson PRINT
of Flonda, county of St Lucie County
following instrument was acknowledged before me this
_day of January 20 so by
sonally known wtto is pasanally known to me
__U tD
01IM019
oiNotiary Dale
tits 04/-15/I6
ljr , A)
agents and em`ployees'fror
result of this change of
)R (or new GC, as applicable)
gory Kozan
State of Flonda, Counry of&t Lucie Cdumy
7tC tbltowmg insttutnent was acknowledged before me this
a day of ju-m 20 , by
Personally known who is personally known to
mq,''r who bas produced as M
d04/2019
Signal re at' Notory Dale
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