HomeMy WebLinkAboutCHANGE OF SUB-CONTRACTOR'11
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION -
2300 VIRGINIA AVE GGANNED
FORT PIERCE, FL 34982 BY
(772) 462-1553 FAX 462-1578 Ste PAO NO/
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 $2,500 ($7,500 if AtC Change -out). A recorded copy must be submitted prior to
imencing any work. There is a S50.00 fee for the Change of Contractor.
_CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
new subcontractor must flit out a Subcontractor Agreement Form. There is a S50.00 fee for the Change of Sub-
CELLATION OF PERTNHT —The cancellation -of a permit is acceptable only if no work has been done,
of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
of the permit.
01/04/2019
Permit Number:.
Address: 2zp
GC, subcontractor or owner/builder
sway Plumbing 1 Gregc
GC, subcontractor
Kazan
for Cancellation Meeks Is off the Job
License CFC057372 SLC License
License cFco57754 SLC License
fees or' ages arising from any and all claims of action for any reason,
ewr;vgxontractor or cancellation of permit. A permit cannot be cancel
1URE OF OWNER (or owner/builder) SiGNA RE GED
r NAM=, Brian W Davidson PRWNAb1E�
or Flottda. County of St Lucie County
following instrument was acknowledged before me this
Jay or January_ 20 19 ,by
sionally known w$o is personally known to me
has produ—CAr. as ID
01/04=19
ure of Notary Dote
sed 04/15/16
d r
_
result of this change of
A (or new GC, as applicable)
jory Kazan
Sure of Florida, County ofSt Lucie County
'Me t'ollowtng instrument was acknowledged before me this
a day of m-o - .20 i� by
personally known who is personally known to
i r who has produced es [D
10412019
Stgarrl re ofNotiry Date
r y Carr-ffiv n : lun 17° 17
:
9ca�cc't\sL
S