HomeMy WebLinkAboutCHANGE OF SUBCONTRACTORTo: Deanna or Aubrey Page 3 of 4
t �p , d
t
2019-10-0717:21:41 (GMT)
From: Robert P. Dudley
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE SCANNED
FORT PIERCE, FL 34982 BY
(772) 462-IS53 FAX 462-I578 St. Lucie County
PL wl-' SFt Ft`T QnN r.A''TH. F. FQ_W_SWthL 2L
CHANGN, Or CONTRACTOR --Change of Colltractor is to be sinned and notan7c+d by the property owner,
and the new contradorof'rewrd forthe current permit. A now pem}il application tnnst also be compfcted with new
contractor information and signature. A new Notice of Commencement must bL filed in the new Lontractre,; name
for job ti2ftres greater than $2,500 ($7,W) If A/C Change -out). A recorded copy must be submitted prior to
ccrinme ' ng any work, Them is a W00 fee for the Change of Conttaetor.
CHANGE OF SUBCONTRACTOR — Suboontrector changes are to be compfeted by the general contractor.
The new subcontractor must rill out a Subaantracta, Agreemem. Form, There is a $50.00 feu for the Change of Sub -
Contractor.
_CANCELLATION OF PERMIT — The mnevilution of a...perrnit is acceptable only if no work has bctn done.
Gancellaiion of permit is to be sinned and notarized by both the owner and qualifier of record. There Is no fee for
t'atmedlation of the permit.
Date: / '�/
Site Address: 96.3� �atGftxva Cat- -C:
Permit Number:
93 f' State License_ SLC license
Original GC ontraaot�urownerlbuildez
•, iE r tr �: tVyt 4.o-1 gat ar�4 .�
'7 __� v J� .*'� i "'k- -Slate i.icx:nScfCOL.Si_C' License
New
treason for C:an ellaium
The undersigrio does hereby •agree to indemnity and hold harmless St I mme County, its offinxts, agents and umptoyces from all
cost4, feet or dir ages arising from any and all claims Of R010A for any mason. which may arise as a reWt of this change of
conrrsctorlsabamtracror or cwtceilatinn of JXnAit. A permit cannot be cancelled if want has b i.'rt petdtbrmed.
SIGNATURKt1Y w!@•RioroRt'netehuitdsrj SKINAFRA� N7}ipS;l'Ll}ttornc•(iC•,us�cah7r}
PRYttT U E .- PEW NAM;F
state of
IN
Revised 04115JIG
gW bGfine meths
i3 W'tx y�rtemm in nie
as II>.
OCT 7 200
ft"4iAMiCh &.WY of St. tun0i;0=Y
YhcletlrrnWgyi¢S7em twee arkteavtcAgrd om•tnr rhea
nhn S. penrxwtly unrnvn to
m cx taste Iws pralw-exr � 14 1s IlY_
10 • 07' !
e of Nnmra nsk • '
Permitting Department
—St. Luc4e-EG6I,4ty1 FL
(�C�� �e hdrfy Rtt+lie-SUrcvrfirtfde
•ti Co+,anmlon+G6:Z53r5
4',J N/Lomm.4r(dratn?r 78, 2423
tlauSecthrugh tNn9r2 twtan Art+:.