HomeMy WebLinkAboutCHANGE OF SUB CONTRACTORPLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
ICHANW; Ulf UUNTHAUTUK,_5UISCUNI- AUTUK UK UANUELLATWIN UE Y MNEE)
BY
PLEAWI SELECT ONE OF THE FOLLOWTNG: St Lude County
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 ($7,500 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.
x , 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 S50.00 fee for the Change of Sub -
Contractor.
CANCELLATION OF PERT IT — 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
cancellation of the permit.
Date
011WD19
Permit Number:. 60'
Site Address:., C7ACi+
Meeks, State License CFC057372 SLC License
Original GC, subcontractor or owner/builder
Ridgeway Plumbing 1,Gregory,Kozan State License CFC057754 SLC License
New GC, subcontractor '
Reason for Cancellation Meeks Is off the Job
. costs, fees or ages arising from any and all claims of action for any reason,
contractiS"Acqqtractor or cancellation of permit. A permit cannot be cancel
r- ram.
7GNATURE OFOWNER (or owner/builder)
?RiNr NA"Ie. Brian W Davidson
state o IFlonda, County of St Lucie County
The following mstnunent wus acknowledged before me this
04 tlay of January 20 tt► , by
pesonally known who is persortally known to me
i
;6.1"
ns pmduco' ' to ID
01/0412019
reorYouuy Dale
Oai15/16
Srd a�
PRINT NAME egoKO KOzan
rots and employees from all'
result of this change of
(or new GC'es applicable),
state or Florida, County of St Lucre Comity
The Ibllowing nutrument was acknowledged before nee this
u day of +u
20 r9 by
personally known
who Is persorwlly known to
me r who has produced
as
0412D19
Spot re of Votary
S
. .
Date
f pTriLE�ti `•' H=' L
;t3� r F6orC �,ita 41-R-'r 1!
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