HomeMy WebLinkAboutCHANGE OF SUB-CONTRACTOR�V
PLANNING &DEVELOPMENT SERVICES
. BY
BUILDING & ZONING DIVISIONNTY
_ 2300 VIRGINIA AVE
FORT PIERCE, FL 34982 RMC
772 462-1553 FAX 462-1578 1
OCT 1: 6 2018
artment
Cou
St. Lucie
_ _ nty, FL
1] 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 jo� values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to
comm ncing any work. There is a $50.00 fee for the Change of Contractor.
XXX CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The Ow subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
ation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
ation of the permit.
Date:
10-15-2018 Permit Number: 1808-0311
Site A
1518 NW Sweetba Circle, Palm City, FL 34990
� dress: y tYr
Plumbl�ng by Bishop / James M Ager State License CFC 1429566 SLC License 30449
Original GC, subcontractor or owner/builder
FLAMJ�GO PLUMBING (Paul Shoughnessy) State License CFC 1426338 SLC License
New GC, subcontractor
Reasonlfor Cancellation Owner requested change for scheduling reasons
The undersigned
does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all
costs, f�l
es or damages arising from any and all claims of action for any reason, which may arise as a result of this change of
contract
or/subcontractor or cancellation of permit. A permit cannot be ce a rk has ben iRerformed.
SIGNAT
RE OF OWNER (or ownerlbuilder) SIGNATIME GENERAL CON RA TOR (or new' GC, as applicable)
PRINT
(NAME PRINTNAME Richard P Duffield
State of
florida, County of St. Lucie County State of Florida, County of St. Lucie County
The folli
wing instrument was acknowledged before me this The following instrument was acknowledged before me this a m
16
y of October 20_ by 16 day of October 20 78 by 0 M .—
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it who is personally known to me Richard P Duffield who is personally known to o C7 1 N
or who hi
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s produced as ID. me or who has produced as ID. CO4 'y o
10 15-2018 "l�1 ag� 10 15-2018
Signatu
11 of Notary Date Signature of Notar/ Date F— w •='"o a
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