HomeMy WebLinkAboutCHANGE OF SUB CONTRACTORPLANNING & DEVELOPMENT SERVICES �G+
BUILDING & ZONING DMS ION , e2300 NEB
FORTVPIERCE, FGINIA AVE 982 �U�e COt/n
(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,
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,
job values greater than $2,500 (S7,500 if A/C Change -out). A recorded copy must be submitted prior to
commencing any work There is a S50.00 fee for the Change of Contractor.
1 � CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form, There is a $50.00 fee for the Change of Sub -
Contractor.
CANCELLATION OF PERINUT —The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellatloa of the permit.
Dote: 01,104t4ol9 Permit Number:
Site Address:
i
Meeks State License CFC057372 SLC License
Original GC, subcontractor or ownertbuilder
:way Plumbing I Gregory Kozan
GC, subcontractor
Reason for Cancellation Meeks is off the Job
License CFC057754 SLC License
The undersigned:does hereby agree to indemnify and hold hamiless'St Lucie County; its officers; agents and t
cos , fees or; "•• ages arising from any and all claims of action for any reason, whit c. result of
contractor co tractor or cancellation of permit. A permit cannot be cancel .1 w be perform
kTURE OF OWNER (or ownerlbuilder) SIGNATURE GEN O TRACTOR for new GC, as applicable)
IT NA.l1� Brian W Davidson FRINr NAM ' regory Kozan
orFlortda, County of St Lucie County Stare orFlonda, County of St Lucre County
lire following instrument was acknowledged before me this
041 day of January 20 18 , by
personally known %to rs ptxsonally known to me
Or has produ., as ID
1�,� ' (psi fl. 01/0412019
Date
I
Revised 04/15/16 l
aw',,J•tsti,.ti�+`1'�e''�`r-r`i''+r'�.l"4' �
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The tollownng rttstrument was acknowledged before me this
a day of J—a
. 20, a , by
personally known
who rs per known to
me qwho has produced
as ID
OM2019
Sigaat ►e of kNotary�
Date
of
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