HomeMy WebLinkAboutCHANGE OF CONTRACTORand the new conti
contractor• iriforn
forljob'values'g
cominencing!any
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The'new subcont
Contractor.
CANCEI
Cancellation of p
cancellation of tl
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Date: CQc
iite Address: _
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New GC; sulicontii
Reason for Caheellal
The undersigned doe
costs; fees or tlamagi
con6ctor6ob6n.tra
SIG { ATUR$ OF O
-PRiNT -NAME
State. Hof F7odda, County lc
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The following instrument
PLANNING & DEVELOPMENT S:
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
JUN 2 8 2019
ST. Lucie County, Perm
St. LuBY
ce(
CONTRACTOR, SUBCONTRACTOR OR CANCELLATIO
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CONACTOR - TRChange of Contractor is to be signed and notarized by the property owner;
of recforithe. current permit. A new permit application must also, be completed with new ord
and signature. A net,, Notice of Commencement must be filed in the new contractor's na ie
than-$2,500 ($7,500-if'A/C Change -out). A recorded copy must be submitted priornto
There is a $50.00 fee for the Change of Contractor.
SUBCONTRACTOR - Subcontractor changes are to be completed by the general contractor.
must fill.out' a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Su b
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[ON OI11'PERM[IT - Fhe cancellation of a permit is acceptable only if no work has been don
is to be, sign ed and notarized by both the owner and qualifier of record. There is no fee foe,
I I Permit Number: I I O T O D -7-3
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L<�C_ L-A rC_)C
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LicenseC•C057Qr_1I SLC License 0 39 1 -1 j
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License_(jGC151-1157 SLC License 3lo?y�
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agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all
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from;any'andall claims of action for any reason, which may arise as a result of this change of
ancelUtion of permit! A' permit cannot be cancelled if ork has been performed.
ler/builder) 1 - I SIGNATURE GE C r CTOR (or new GC, as applicable)
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County - State of Florida, County of St Lucie County
awledged before me this- - - - ---_The following instrument -was aclmowledgedgfore mq this
d i day of �i�.n. o .20� by L i -r
u.• 'III JV1 .
who has produced
.I wnv ersonau ro me
as
Date
t. -I k�c
or who has produced
'Signature of Notary
wn personalty to
as ID.
Dates
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Signature of Notary
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+ a l �.
ievised 04 /V.�
r ntary P bl Stare o1.Florid
A Oq p `m
iH taa
NotaTY Public State of Fiorid _
Andrea
drea Lamberl
N!*
notary Pue6c F.rete of Florida
Andrea
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M\ Er^�" sal r. ryG 7 ^
A51
+ymy fl,)rcli `22
$ Y commission G Ia4577
Expires
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Lambert
Y Cnmmi9alen GG 784$771
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