HomeMy WebLinkAboutCHANGE OF CONTRACTORQ
Planning &'Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
BY
St. Lucie County
Change of Contractor is to be completed by the property owner, and the new contractor of record for the
current permit. A new permit application must also be completed with new contractor information,
signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's
name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Permit Number: 1906-0291
Site Address: 4042 GREENWOOD DR FORT PIERCE, FL 34982
LUMA DYNAMICS - JOHN CAHILL State License CVC57032 SLC License
Original General Contractor (or Subcontractor)
MAGRALOGIC INC - RICK CHEEK State License EC2866 SLC License
New General Contractor (or Subcontractor)
Reason for Change TAKE OVER JOB
The undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its officers,
agents, and employees from all costs, fees, or damages arising from any and all claims of action for
any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of
permit. A permit cannot be cancelled if work has been performed.
�6Q
SIGNATURLMF 6WNER (or ownerlbuil1de''r) • SIGNATOR0017 NEW GENERAL CONTRACTOR
PRINT NAME.�'%&Jf PRINT NAME RICK CHEEK
State of Florida, County of St. Lucie County
The following instrum'entt w.aas acknowledged before me this
day of
ns'��" �-h' 20J(�1by\1 t ft�
who is personally know to me
orwhohasproduced $4Las ID.
Signature of Notary / Date
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day"of0;, by
L' �.RJUL who ispersonally know to me
or w as produced to.
Signature ofNotaty Date
*Only signature required for change of subcontractor
Revised 07/21/14
SARA R SOMES
,> tk; Notary Public -State of Florida
®• Commission p GG 311319
?a,�oa My Commission Expires
'^non° March 13, 2023
SARA R SOMES
e° : Notary Public -State of Florida
®A Commission. M GG 311319
y Commission Expires
March 13, 2023