HomeMy WebLinkAboutCHANGE OF CONTRACTORPLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION SCANNED
2300 VIRGINIA AVE By
FORT PIERCE, FL 34982 St. Lucie County
(772) 462-1553 FAX 462-1578
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 signed by the general contractor only.
The new subcontractor must fill out a Subcontractor Agreement Form which is signed by both the contractor and
subcontractor. There is a $50.00 fee for the Charge of -Sub -Contractor.
- �KCANCELLATTON 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:
Site Address:
r), Tc
Original GC, subcontractor or owner/builder
New GC, subcontractor or owner/builder
Reason- for Cancellation
Permit Number:
4 1Z(
Licens _SLC License
License SLC License
The undersigned. does hereby agree to indemnify and hold harmless 1
costs, fees or damagesarising from any and all claims of action for a
contractor/subcontractoror cancellation of permit. A permit cannot
SIOh1A7IfRE OF OWNER (or owner/builder)
PR::NT NAME
State of Florida, County of St Lucie County
The following iastrumMI was aeimowledged before me this _
__dayof - - ; 20 by - - - -
-. who is personally Imown to me
or uho has produced w to.
signature of Notary Date
yp Karl Notary
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