HomeMy WebLinkAboutCHANGE OF SUB-CONTRACTORd e
PLANNING & DEVELOPMENT Sk kVICES
BUILDING & ZONING DIVISI N DECEIVED
2300 VIRGINIA AVE
aFORT PIERCE, FL 34982 FEB 2 0 2020
'00412) 462-1553 FAX 462-1578 ST. Lucie county, Permitting
ide
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT
1'I CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
and he new contractor of record for the current permit. A new permit application must also be completed with new
con actor information and signature. A new Notice of Commencement must be filed in the new contractor's name
for.lob values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to
com pricing 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.
The lew subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Site
CANCELLATION OF PERIVHT — 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.
GC, subcontractor or owner/builder
subcontractor
for Cancellation
lip
Permit Number: 1306 407
License SLC License .27e-7
License C605J [ ,2 SLC License 3/ 01
The iYndersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all
costs fees or damages arising from any and all claims of action for any reason, w ' h may arise as a result of this change of
contr ctor/subcontractor or cancellation of permit. A permit cannot be canc ed jf work has b0[i Doformed.
iIGN) URE OF OWNER (or owner/builder)
PRI NAME
State f Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of 20_ by
is personally known to me
or wh§ has produced as ID.
of Notary Date
Revid'�d 04/15/16
SIGNATURE GENERAL CONTRACTOR (oy new GC, as applicable)
PRINT
State of Florida, County of St. Lucie County
The fc !lowing i trument was acknowledged before me this
22Lday of C w-- l 20_2_O by
i ✓� Wkd 1Inwho is personally known to
me or w o as produced___DL as ID.
O ZAL o /"i 9
Signature of Notary Date
�.V P Notary Public State of Florida
Colleen Sue Hayes
My Commission GG 287729
ja w' Expires 03l15l2023