HomeMy WebLinkAboutCHANGE OF SUBCONTRACTORPLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 FAX 462-1578
SCANNED
BY
St. Lucie COUI1ty
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING:
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized 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 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 $50.00 fee for the Change of Contractor.
x CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Contractor.
--as CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
Cancellation 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:
June 29, 2017 Permit Number: 16110499
Site Address: 3901 St. Lucie Blvd., Fort Pierce, Florida 34946
Lindquist Plumbing, Inc.
Original GC, subcontractor or owner/builder
MEEKS PLUMBING INC
New GC, subcontractor
Reason for Cancellation Owner's Request
License SLC License
License CFCO24535 SLC License 8352
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.
SIGNATURE OF OWNER (or owner/builder)
PRINT
State of Florida County of St. Lucie County
The following instrument was acknowledged before me this
_day of , 20_ by
is personally known to me
or who has produced as ID.
June 29, 2017
Signature of Notary Date
Revised 04/15/16
SIGNATURE qENERAL CONTRACTOR (or new GC, as applicable)
PRINT NAME PWIU 4441 �wlf
State of Florida, County of St. Lucie County
Th f owing instrument
— day of
was acknowledged before me this
, 20ZZ by�/�Lsif
l
who is personally known to
Rob pr
aced as ID.
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'June 29, 2017
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