HomeMy WebLinkAboutCHANGE OF CONTRACTOR07/29/2019 MON 9!30 FAX 772 283 7751 Dreamtvorke Remodeling
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PLANNING & DEVELOPMENT SERVI ES RECEIVED
BUn,DING & ZONING DIVISION
2300 VIRGINIA AVE
JUL 2 9 2019
FORT PIERCE, FL 34982 ST.,Lucie County, Permitting
(772) 462-1553 FAX 462-1578
CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT
MASE SELECT ONE OE THE FOLLOWIN_O:
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 now 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 S50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR —Subcontractor changes are to be completed by the general contractor.
e 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 to no fee for
cancellation of the permit.
Date: l —g—li Permit Number. i9oa -oaa,
Site
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h4golII W S /�rJ9, JFU9�i State License-SLC License qG oalev/
OritginalCC, subcontractor orowner uilder
rfly' (Ot1P) U State License—)S " --SLC License f r zOd 100
New CC, subcontractor —�
Reason fbr Cancellation
the unassigned does hereby agree to indemnify and hold harmless St Lucie County, Its officers, agents and employees Son
costs, fees or damages arising from any and all claims of action fbr any reason, which may arise as a result of This change of
contractor/subcontractor or cancellation of permit A permit cannot be ccaancnc led iff w.urr has been performed,
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