HomeMy WebLinkAboutCAHNGE OF CONTRACTORWon
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PLANNING &'DEVELOPMENT SERVICESt—� E
BUILDING & ZONING DIVISION
7300 VIRGINIA AVE SEP 2 7 2016
FORT PIERCE, FL34982 PERMITTING
(772) 462-1553 FAX 462-1578 St. Lucie County, FL
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PFRMT` CANNED
BY
PLEASE SELECT ONL• OF THE FOLLOWING; St. Lucie County
- X—CHANGE.OF CONTRACTOR -Change of Contractor is to be signed and notarized by the property owner,
and the.new contractor of record for the i mxent permit. A anew permit application must also be completed with new
contractor information and signature. 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. There is a S50.00 fee for the Change of Contmetor,
CHANGE OF SUBCONTRACTOR -Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out wSubcontractor Agreement Form: There is a•S50.00'fce for the Cha rge,of Sub -
Contractor.
CANCELLATION OF PERIVIIT- The cancellationof a permit is acceptable only if no Work�has been done.
CacceRation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: August2g,2616 Permit lumber: 1606-0392
Site Address: U100N•AIA Coil I?iefce,FL 9)49149
Muyan Restoration Wateryroofing &painting Service LLc State License CGC1523253 SLC License —
Original GC, subcontractor or owner/builder
Concrete Restoration Setvlces by Oaniello S Associates Inc State
New GC, subcontractor
Reason
costs,
of permit. A permit
pal!;T
State o[Rorida. County orSL Lucie County
The Muming iqoun.nt was aeloacoledited�rpe remre Nis
any
who is personally knosm to me
MATNAN.M LOOISE
Notary Public - State of florida
Commission 0 FF 931339
My Comm. Expires Oct 27, 2011
CGC 151e181 SLC License
,)1A lA.. , Q a --W.
County, its officers, agents and employees'Fron
in, which may arise as a result of this change of
:elied If work has been: performed.
-
E\*ERAL Co, I'RACTOA {arsrcw OC,m MFacab )
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Stece of loci g County ofSL Lucie County
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MYCOMMISSIONYFF174373
EXPIRES: November 5, 2019
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