HomeMy WebLinkAboutCANCELLATION OF PERMIT--- 4
PLANNING & DEVELOPMENT -SERVICES
V�
19VILDI N% & ZONING DrVISION
SCANNED
2300 VIRGINIA,AVIE BY
FORT PIERCE;
ERCEi FL 349,82, St Lude County
(772) 4624553 FAX 461-15,18
CHANGF,.OF'CONTRACTO'XSUBCONTRACTOR ORCANCELLATI*ON-OF-PERMT
I 'CHANGE OF CONTRACTOR —:Change
and the new contractor of record for the of Contractor 'ig' to be Sigried.and. notarized, bythe`gfopertyowner,
current permit. -&-new permit application,miust' also. be completed' '
Wit,h, new
contractor ' information and signature.A new � Notice Of Commencement,must be -filed in 1he"new :contractor's name
for ijob values greater than '$2,�($7,500 if A/C C
hange=oqt). A. recorded copy must be submitted"prior to
I ,,
commencing any work. There is, a'$50.06-fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a_Subcon 'tractor Agreement:Fbim. There a e i$5 I 1 ._ Q.qO'feietdtthe:Change,bfStib-
Contra' tor:.�CANCELLATION'OF PERMIT —The cancellatibn ofa permitis accep0ble`ohly ifh6 work has bee don
CAncelldtion of permit is. to b'
M_ e signed And notarized .by both the.: owner, and qualifier :of
earic'ellation of the petinit. record.. There is,no,16e for
I
Date: 01iG712019.
I
Site Address: __ =� y �
JAI TAYLORROOFING INC:
POrdift Number: 1811-0006
GC, subcontractor Nei�j 'tateti6dn.se, ',KGLk6nge:
for Ca'heellation
hereby agr&6 foindemnif—y-.and
ari i ' ff(' - - All cjd� ping 0manyand tM
or or cancellation'.jdf perinit. A
PRINT NAmg GUYIDEVENS
State of Florida; County of St Lucre County
The following instrument was acknovAedged before me this;
,
7TH
GUY
orm,ho1b2;nrnducM DL.
ftetriSi-'d 04?15/16
by
23018
for:anyle"6nj whi& ari
se: !r
UIof thii ch in e.f
nnotbeea eOo okkkas 46rned.
SIGNATUREGENERALCONITU CONTRACTOR (or (or �h6wGC, as �q�plica@lq):
PRINTNAME KYLE WHITE
State of Florida, Qourityof St: Lucie Coup ty,
The M followifig Of. JAirtsimment,was a��l day , NUARY
)p by�
KYLE WHITE
_46js:Orsb]riall% known t*
%
as a A0_ LeS1 N)
91 "aturcof Notary
Date. fit MW