HomeMy WebLinkAboutCHANGE OF CONTRACTORr
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 PER114T
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
lithe new contractor of record for the current permit. Anew permit application must also be completed with new
4ractor information and signature.,.A new Notice of Commencement must be filed in the new contractor's name
job values greater than S2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior. to
mencing any work. There is a $50.00 fee for the Change of Contractor.
_CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
newesulicontractor must fill out a Subcontractor Agreement Form. There is a S50.00 fee for the Change of Sub-
atractor.
CELLATION OF PEILWT —The cancellation of a permit is acceptable only if no work has been done.
of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
of the permit.
01/04/2019
Permit Number: l 01 d�u�
Address:
GC, subcontractor or
sway Plumbing 1 Gregory
GC, subcontractor
n for Cancellation Meeks is off the Job
License CFC067372 SLC License .
License CFC057754 SLC License
ndetsigned does hereby-egree'to indemnify and hold harmlesi'St Lucie C
fees or. ages arising from any and all claims of action for any reason,
ictor' ontractor or cancellation of permit. A permit cannot be cancel
PRINT NANZArlan W Davidson PRINT
State of Florida, County of St Lucte County
The following immanent wus acknowledged before me tails
day of January 20 m Eby
pertsanally known wtto is petsonally known to me
has produc as ID
oC�Xlk .1��'.� o110412019
of Notary Data
Revised 04/15/16
result of this change of
)R (ot new GC, as applicable)
Kozen
State of Florida, County of St Lucte County
The following instrument was acknowledged before me phis
a --day or---.- 20 re a by
personally known who is personally knows to
me r who has produced as 1p
04=19
Sigaat 'ee of Yomry Date
RL'rii;.Eeti
y �eRr.a>.cr. d S? W2.
1 y'`
l.�'T CIF ei �� �»�•,
8ct..'.cdtpra�6ntiala?na,t tarp