HomeMy WebLinkAboutCHANGE OF CONTRACTORPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
CHANGE OF CONTRACTOR
SCANNED
BY
St. Lucie County
SEP 12 2019
ST. Lucie County, permitting
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed 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,
signature, and transfer fee. 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. Subcontractor changes can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Date: SW 9 2-00 Permit Number:
Site Address: '9010 'S C) BAN
SLC-. 190T—OcvOO
FOIL 90A VtAlllvwN State License FL. SLC License 297E4
Ore inal Gen al ntractor (or Subcontractor)
�� State License Ct*�6 /y28Gg/ SLC License
Ne eneral Contractor (or Subcontractor)
Reason for Change IN -1 VA&C t01 I�(:'0'2
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 a as a result of this change of contractor/subcontractor or cancellation of
permit. A,permit can t e�ncelled ifgrtdttlsrjleen performed.
PRINT
NOTARY
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PUBLIC
State of Florida, County of St. Lucie County
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Date
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*Only signature required for change of
Revised 07/21/14
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of Florida, County of St. Lucie County
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