Loading...
HomeMy WebLinkAboutCHANGE OF SUB CONTRACTORA PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 PLEASE SELECT ONE OF THE FOLLOWING: `'ounty 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 co encing 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 $50.00 fee for the Change of Sub - Contractor. CANCELLATION OF PERMIT _ The cancellation of a permit is acceptable only if no work has been done. Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for cancellation of the permit. Date: Tc— 1 124 20 (8 Permit Number: Site Address: ' p ON ; Ll l anion 91i'neS Mvc(, ICr — 2 goyx r ai&,,. State LicenseilW I3c1ggq2SLC License Original GC, subcontractor or owneribuilder S(4.Af;6e_ G't_ State Licenseft 132.7208 SLC License New GC, subcontrac r Reason for The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all costs, fees or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contract subcontractor or ncellation of permit. A permit cannot biancelled if wo5k has, been pggfftmed. XGIqATURE OFOWNER `orrownerfbuil er) SIGNA'ruKF.1,hNNJ;ZAL CO$TRACTOR �ar/a�ew/C.c-,� applicable) PRINT NAME D wood PRINT NA.....- CJ)aW_WGSAt r10G C1`� State of Florida, County of St Lucie County The following instrument was acknowledged before me this �6��d-a1y of 0 U� 20Lt by kpQE % - - -- who is personally known to me 0 ohm prod cad )r (r Ce £' as ID. Mal4 -zGa Signature of Nota Date t4pY PeA Christian A. Pringle ao srpd 09/15/1NOIafyPUliliC State of Flodda 9�OF F��p My Commission Expires 04127119 Commission No. FF 224840 State of Florida, County of St. Lucie County The following instrumept was acknpyvledged before me.this t,� —day of BLCIW 20d by icc L1�ilI who is pe� to me rr o�haas oduged as ID. Signature df Notary Date �- FOR. No4ry Pubkc State d Fbdda = ee GG23B823 y r PLANNING & DEVELOPMENT BUILDING & ZONING DIVISIO 2300 VIRGINIA AVE •MeIvIRNOW,ANNED FORT PIERCE, FL 34982 AUG 15 2018 BY (772) 462-1553 FAX 462-1578 Permitting Department St. Lucie Count�i St. Lucie County, FL CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECT ONE OF THE FOLLOWING: CIIANGE 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. -L-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. 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: i�- a-- I � Permit Number: 0 d i - 0S-H Site Address:.S5U r1 rnr/(t'4tn p;tte S g l uc) q- Pir ree /'� 3 1/95/ eywpp,, wo-�r State Licenset (t1.Z�'fJ/SLC License Original GC, subAlontractor or ownedbuilder McClendon Plumbing, Inc. New GC, subcontractor Reason for Cancellation License CFC1427037 SLC License The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from 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 mince if work has been performed. SIGNATURE OF OWNER (or own/er/buildeeer)L/ ),'t - S GNATURE GENERAL CONTRACTOR (ornew GC, as applicable) PRINT NAME�f^W�i F/70&f . PRRJTNAME Kendric McClendon State of Florida, County of St Lucie County The following instrument was acknowledged before me this, Oar dayof 9089S� •2019,by a 2s%Ir P o h-Q,1-fn who is p a ly known to me or who has produced as ID. 0.Q-0r�.a l� Signature of Notary Date State of Florida, County of St Lucie County The f Mowing instmment was acknowledged before me this day of fi1t Kn.lA5.�, 20� by Ih ✓(C. m���QUU 011fl who is personally known to me or who has pmduced Lr as ID. Signature of Notary Date Revised 09/15/].6 �" �""r' `� g Notary Public State. Florida F494% Nd ="Public State of Fbrlde , Christina RobertsFF 210266 Grp pd� Fxphas 03716rt019 e My Commissiont2 y� Expires 0311612010 PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION - 2300 VIRGINIA AVE RECEIVED .FORT PIERCE, FL 34982 AUG 2 3 2018 BY (772) 462-1553 FAX 462-1578 St. Lucie County ST. Lucie County, Permitting 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. 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. CANCELLATION OF PERNUT — 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: 19— 7-1 r -Site Address: Permit Number: . 16 -7— 05c ,41n 4er• 64"Ie",r- de",., &-&61, t State License SLC License Original GC, subcon ractor or owner/b der A State License, (RI WA SLC License New GC, sultontractor Reason for Cancellation 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. S GN ''�WRw.1m 1n/erII .<IGNATURE GEERACONRACTOR (or new GC, aapplicble) PRINT NAMEFO PRINT NAME State of Florida, County of St Lucie County T--µ h�efoollowing instrument was acknowledged before me this r day off 2o1_S, by 1iQft.aE i �ObPxh who is p orally kno to me or who has produced as ID. Signature of Notary Date Revise 9 �4VN Notary Public State of BoNa Christina Robe,ts +A My Commission FF 21028E pia Expires 03116*018 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. Signature of Notary Date DEVELOPMENT SERVICES FORT PIERCE, FL 34982 (772)-46271553 FAX 462-1578 p PL'EASE SELECT ONE OF T1­1E1Ft7LLO*ING: CHANGE OF CONTRACTOR — Change of Contractor istobe 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. 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. _ l CANCELLATION OF PERMIT — The cancellation of a peiinit is acceptable only if no work has been done. Cancellation of permit hNo.,be signed and, notarized by both the owrier and qualifier of record. There is no fee for . cancellation of the permit. ) Date: �'a' i g L 7 Perm t Number: i CJ7 rO SXc, Si2tte Address: /S�oti ga-,, pinks K � O Sre r L/C�'C, State License SLC License Original GC, subcontractor or owner/builder G • _14 4 h G le ejr11 Ca State License AIL 13 o I Li SiTLC License New GC, subcontractor Reason for Cancellation E Y. The undersigned does hereby agree to indemnify and hold harmless St Lucia County, its officers, agents and employees,fron 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 c ncelled if work has been performed. SIGNATURE OF OWNER \ (or owner1/�buildder)I� SIGNA 0 R or new GC, as applicable) PRINT NAME 4l0.CGt/GS/IT I'1,ylbCf PRINT NAME.��M✓1 ��•,"� State of Florida, County of St Lucie County The following instrument was acknowledged before me this {r ` D day of R D�� 20�, by It Q[)bQ Ifs who is p zonally Im to me or who has produced as ID. Signature of Notary Date Revised 0 Notary Puck state of Flatda ►/ Christine Roberts A My Commleslan FF 210299 p tome 011612019 State of Florida, County of St Lucie County e following instrument was aclmowledge�before rye this �0 day of Q.L) q , 20�, by Ed'MT•1rt! S W��Ny\ np4wr�ho is personally }crown to roe or who has traduced I4L- as ID. _ EXPIRES: December Is, 2020 BondedThru Notary Public U^"'an'rtl�e!s 11 1,> PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE SCANNED FORT PIERCE, FL 34982 6y (772) 462-1553 FAX 462-1578 St. Lucie County CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERNrr 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. 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. CANCELLATION OF PERNHT - 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: 1,;If ; Permit Number: 1 %07-CAS-29 Site Address: r .MLI �' M Piers t°J�thd, (29 - i�kfzlr� i6L c3LN93 — R (]Lhb (l C;" C2t4 M_ State License Cr2C IS�SLC License % 2 Original GC, subcontractor or owner/bfiildeg License SLC License New GC, subcontractor Reason for The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees fron costs, fees or damages arising from any and a0 claims of action for any reason, which may arise as a result of this change of contr /subc n to . rcellation of permit. A permit cannot be cancelled if work has been performed. SI NA OF OWNER (or owner uII d''er) f/ SIGNATURE GENERAL CONTRACTOR (or new GC, as. applicable) W PRINT NAME A. "n State of Florida, County of St. Lucie County *�persmaallyknown asaclat edbeforGa 'sCC••fSAr [o me Date � aN � "ENE M.2Xf Revised 09/15/16 ,f' � Notary Public,STateofFlorlda s 0�Commission No. GG 167382 My commission Expires 02/23122 State of Florida, County of St. Lucie County The following instrument was aclatowledged before me this _day of .20_ by is personally (mown to me or who has produced as ID. Signature of Notary Date PLANNING & DEVELOPMENT SERVICES BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE LECT 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. 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 S50.00 fee for the Change of Sub - Contractor. 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: 6' 19-I0 Permit Number: 17U,)-GSrL SiteAddresss:I� SSU (-t �p�/��GI.J�I I-it�S &J, �F pt�rce,fl Aamscs ft6otrtJue-2. - Tr; 9 Lt ArthdioolStateLicenseCiZI<S10SI SLCLicense Original GC, subcontractor or owner/builder Lp.CweSnl 8664S - b'Q.otltt•4 Cplf"I@itateLicense 66C/•S.ZSFrSLCLicense New GC, subcontractor Reason for Cancellation Ra t The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all costs, f� or damages arising from any and all claims of action for any reason, which may arise as a result of this change of con ac /subcontra br cea c lation oifp rmit. A permit cannot be cancelled if work h been performed. S GNAIRE OF OWNER (or owner/builder) SIGNATURE GENERAL CONTRACTOR TOR(oR r new GC, as applicable) PRINT NAMEC7Y/Ci V\�U VJ, PRINT NAMEJ:)0.r We— I r ryAlOe �S State of Florida, County of St Lucie County e lo%%ing!llliIjll uas acknowledged before me this W d1V1420gby-1LLL��r; C. U V Aho is personally known to me or wh produced I . Signature of Notary Date State of Florida• County of St. Lucie County The following instrument was acknowledged before me this I"dayof - 1AAC- 20byfjJQ5Jrrt Q01xyit ni who is crsonally kno to me or wtto has produced as ID. 02--•-Repu I t7t, l o • Signature of Notary Date Revised 04/15/16 AUDPEY& HUMPHREY 'kk Now" Public State of Fla 4 '- MY COMMISSIGN 9 FF 17g772 Christina Robertsm ?,• • a?s EXPIRES; Merch 6, 2019 ` Mr Cemiulon FF 210265 Bf,„}k,• 9onded Thm NnmyPub7c Undemmters OF Fxpirea 03116I201e y` �__` , _ .. _" .� I ,. .. %1s�r'aY'..6s. C ... ti„ �:y : SI ..3% b y�Vy..