HomeMy WebLinkAboutCHANGE OF CONTRACTORa_.
PLANNING & DEVELOPMENT SEk'VxCES
BUILDING & ZONING DIVISION OL N ED
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 It �UCB
(772) 462-1553 FAX 462-1578 COUrify
CHANGE. OF CONTRACTOR, SUBCONTRACTOR. OR CANCELLATION OF.PERMT
PLEASE SF,LFCTONE OF THE FOLL1D%MW:
CHANGE OFCONTRACIOR—Change of Contractor is to be signed and notarized by theproperty owner,
,and thenew contractor oftecord for the current permit. A -new 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 jobs 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 S501100 fee for the change or Contractor. •
_CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out aSubcontractor Agreement Forma There is a,SS0.00 fee for the Change of Sub
Contractor.
CANCELLATION OF PETWIT— The cancellation of a permit is acceptable only if no work has been done.
Carnation of permit is to be signed and notarized by both the owner and qualifier of record.'ibere is no fee for
cancellation of the permit.
Date: August2g.201e Permit Number: _ 1606-0393
Site Addrem u i o b N':.A1:A %r I i FL_. M941
Muyan Restorqllon Waterproofing 8 painting Servl- LLc State License CGC 1623253 SLC License _
Original GC, subcontractor or owner/builder
Concrete Restoration Services by Daniello B Associates Inc State License GC 151a181 SLC License
New GC, subcomracto�r
Reason for CanccliationfYC�,s
The undo i d dots hereby ngtee to indemnify and hold harmless St Lucie County, its o icers, agents and employees from all
costs. fees nages a sing from any and all claims of action for any reason, which may arise as a.result of this change of
commcm s onoac or cancel tion of permit. A permit canno eetled if workhas been performed.
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Revised 04/15/16
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NATNAN M LODISE `
Notary Public -State of Florida
.E Commission I FF 93133E
F My Comm. Expires Get 27. 2019
Swroof bddy County Gist. Lucie County
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EXPIRES; November 5, 2018
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