HomeMy WebLinkAboutCHANGE OF CONTRACTOR OR SUB-CONTRACTORkern.
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Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
PLEASE SELECT ONE OF THE FOLLOWING:
SCANNED
BY
St. LucieCoanty
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 A/C Change -out). A recorded copy must be submitted prior to
avenging 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.
new subcontractor must fill out a Sub -Contractor 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.
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Permit Number:
Address:�-
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GC, subcontractor or owner/builder
ew GC,
for
License
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License SLC Licenw`
undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its officers,
its, and employees from all costs, fees, or damages arising from any and all claims of action fi
reason, which may arise as a result of this change of contractor/subcontractor or cancellation of
iit. A permit cannot be cancelled if work has been performed.
R yA•T.jE@Y RMOR (or owner/buil
e m NT NAME
om`i�
W m N Mate of Florida, County of St. Lucie County
e folk wing iystrument was acknowledged before me thi�.4,r7
X o
w day o, 201 ^! by�
�St,�eb� F /1Lf�I���n is ersnnally know to me
( who has prodeeed as ID
of Notary Date
(or new GC, as
State of Florida, County of St. Lucie County = �=
T e following in ment was acknowledged before me this
day of 20/a by
who is person know)to
me
or has produced
Signature of Not Date
ised 04/15/16