HomeMy WebLinkAboutCHANGE OF CONTRACTORSCANNED
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I 11�ude
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DMSION
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 S2,500 ($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 PiE101IT — The cancellation of a permit is acceptable only if no work has been done.
illation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
Ilation of the permit.
01104/2019
v
riginal GC, subcontractor or owner/btiilder
Ridgeway Plumbing I Gregory Kozan
subcontractor
for Cancellation Meeks Is off the Job
Permit Number:.
License CFC057372 $LC License
License CFC057754 SLC License
ldefsigned "does hereby agree to indemnify'and hold haritiless'St Lucie County, its officers, agents and employees't
fees or ages arising from any and all claims of action for any reason, whic %F7Mresult of this change
cto�ocontractor or cancellation of permit. A permit cannot be cancel 1f:w be` performed.
11JRE OFOWNER (or ownerlbuilder) SIGNA71YA£ GELRCIRTRACTOR (tit new GC, as applicable):
r NASiE 9dan W Davidson PRINT NAM regory Kozan
County of St Lucie County
The following tnsttument was acknowledged before me this
day of January 20 1° , by
personally known wbo a personally known to me
or has produc. ID
L7t'v .�_ Df Lr t`► . 01/0412019
of Notary Date
vised 04/15/16
state of Florida, County of St Lucie County
The tollowmg instrument was acknowledged before me this
a day of fy . 20.1. by
personally known who is personally known to
me Ir who has produced as m
-��.,112019
5ignat re of Notary Date
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