HomeMy WebLinkAboutCHANGE OF CONTRACTORSCANNED
By
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
PLEASE SELECT ONE OF THF, FOLI.OWING:
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the current permit. A new permit application must also be completed with new
contractor information and signature. A new Notice of Commencement must be filed in the new contractor's name
for job values greater than $2,500 (S7,500 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.
x CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a S50.00 fee for the Change of Sub -
Contractor.
CANCELLATION OF PERINUT —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
cancellation of the permit.
Date: 01104/2019
Permit Number:. Kul —
Site Address:01 wvt+;l,. 1.
Meeks State License CFC057372 SLC License
Original GC, subcontractor or owner/builder
Ridgeway Plumbing / Gregory Kozan
New GC, subcontractor
Reason for Cancellation Meeks is off the Job
License CFC057764 SLC License
fees or ges arising from any and all claims of action for any reason,
ictQL$6ccfqtiactcr or cancellation of permit. A permit cannot be cancel
PRINT NAM • 9dan W Davidson PRINT
State of Florida, County of St Lucie County
The following instrument was aeknowiedged before me this
04 day, pr .lanuery 20 is . by
personally know who is personally known to me
bas prod u _ as M
0110412019
are of Notary Dote
iced 04/15/16
ory Kazan
State of i'londa, County ofSt Lucie County
and ensployees Ron
Ilt of this change of
as
The following instrument was acknowledged before me this
u day of 1 .20 2 by
personally known who is personally known to
me r who has produced
04/2019
Sieu! re orNotary Date
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