HomeMy WebLinkAboutCHANGE OF SUBCONTRACTORs
PLANNING & DEVELOPMWin _ikSERVIM
MMMUMM- BUILDING S ZONINGDIVISION
2300 MGINIA AVE
— ' `FORT PIERCE, FL 34982z, 8CANNEG)
(772) 462 I563 FAX 46245741
8 '` St. Lune Count �
CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERA[T
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Pi<FJISE SELECT O�IEOF THE FOLLOWAG _ _ � -` '` -
CHANGE OFCONTRACTOR C7taugt of Conit toi is to be sill and i nottiri,zed by the property owlier
and rho neiv conttactor.of ixconl for the can cn£ permit. A new permiCappli�tion must also -be completed with new,',
conuactor.infarmahontindsignstnre` A new.\otit c of Commencement must.be filed in the new contractor's" name
for job, velars greater'thsi S2,500 (S7 SOQ if A7C`.Change out).: t1 it cercrscl copy must be .'submiited prior to ,..=
commettciu� any, work. There is a 550.00 fee for fire Change ofContractor.= ': _ - - _ - r _ ` i
X CHANGE OF SUBCOi�"IRACTOR— Subcontractor changes are tb be completed by the ginetat contractor
The ae%v subcontractor must fill otit a Subcantmctoi Agreement Form There is a S50.00 fee for the Change of Sub= -
. :Contractor.
CANtCELLATION OF PL NHT The'eancellsiion of a peruni is kceptable only if no work has beet: done. '
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record.. There is no fee for
cane -notion of the permiL---
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Date: / V ' � � Permit Number: 1906-0257
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Site Add 'ccd�C . F4fii��(
'Cardinal Roofing .: - i' Smote LicenseCCC032513 SLC:License 9072
.'Original GC, subcontractor or owncribuilder
Alliance Group Contracting Corporation ` `- . state LiccuseCCC133o918 SLC License 29684
t. New GC, SubCOntmCtOl;' - _ - - - • - _
RCason f, l CancelMon -Changed 'subcontractor
The undersigned does bereby a_gree to indemnify mod hold harmless St tie county, its officers, agents and cmploycea from all
costs, fees or damages arising from any and aIl claims of action for which may arise to a resuh-of this change of a
wattactortsubcontrctor ar cam to imian of"t. A permit ennnot if %cork has been performed.
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