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CHANGE OF CONTRACTOR
i h ,� IPLANNING & DEVELOPMENT SERVICES: y IBii MI ING & ZONING DIVISION 23. 0 VIRGINIA AVE 'SCANNED — ^ FORT PIERCE; FL 349821� BY 1 III i(772) 462-1553 FAX462-1578 St. Lucie County M 0' NE RAGTORI / UBCONTRACTOR OR CANCELLATION OF P-ERMT GO GE QF CONTRACTOR —Change of Contractor is !to be signed and notarized by the property owner trac rofiecordlforthe current permit. A new permit application must also be completed with nee' m Itri n and signature A nerd igoticei of Commencement must be filed in the new contractor's name gratIr ,than! $D;500 ($7,500 if A/C Cliange'out). A recorded copy must be submitted (prior ti y ork 4here is a $50 00 fe� for the Change of Contractor. 'EO SUBCONTRACTOR Sublcontnctor changes are to be completed by the general contractor) tr is r must filLout Subconractor'Agreement Form. There is a $50.00 fee for'the Change] of Sub, I� LU ION.OE PERAM — The cancellation of a permit is acceptable only if no ;work has been done pe rt is to. be'signed and notarized'by both the owner and qualifier of record. There is no fee fm tti� armrt ii ,� I. j i Permit Number: W W LeAte liirclc_ F L3`f°ISJ State LicenseCR%0.5j7a_j1SLCLicense 939I1 be A actor or Arner/builder I, k � S �AI • � G. , ,I State LicenseC_GCl51'1'157 SLdLicense �)\ 345 itrnc ;Held does damages ereby agree, to indemnity and;holdlharmless Rising fromlany and all claims St Lucie County, its officers, agents and employees from all of action for any reason which ay arise as a result of this change iof a ntract or ion of Pe it A permit cannot be cancelled if r been performed. ; .I. o�w-neer/bpild1er) SIGNATURE G C CTOR (or new GC, m applicable) �) ©- YS 1'."• t':". *'F�I l l n�.' - r• i c IPRINl`NAME:,,! Ce a� �Gl mes Fa l-te r yyII Ii I 'I• Co,aitydlf3 Lude Col ry' ,I'; li �'State'ofFlorida; County of St Lucie County I IIII II•i linsfnanent: LI i aclmowledgedbefore I! j ,•' methis' 'I I• i. . ' I � ' 'The following instrumentwas acknowledgedbefore a [his " SS 20 n r ''by �� C'' 4V-In "tome 1d1lay_-of J 20' by _ -�-"— _ erSonallyim I as ID. LET"--_wfio s personallY r- I e or who has prod ced as dtu'ed { I Signature ofNotary Date �- ' Qptary! Date' I ill) � l+,•, ,I _I ofFlorida':realainben i I GG 18dbt7 Notary=be Mdreion ; .per My Co:Pires01202apGf Expire API ' ,