HomeMy WebLinkAboutCHANGE OF CONTRACTORSCANNED
BY
St. Lucie County
PLANNING & DEVELOPMENT SERVICES
BUILDING &ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 4624578
CHANGE OF CONTRA .SIIBGONTRACTOR OR CANCELLATION OF PERMT
PrsEASF SFI FCTOAiG Or THE FOt LOWIN `
X 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.
T(re new subcontractor must fill out a Subcontractor Agreement Form. There is a `650.00 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: 817/2019
Site Address: ovs #5151, 4780 N Kings Highway,
Permit Number' IW7-0047
FL 34951
G_R, Inc. State License CBC059709 SLC License
Original GC, subcontractor or owner/builder
Awesome Construction State License O C (' 1rl d ( �iSLC 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
casts, fires or damages arising Goat any and all claims of action far ason, which may arise as a resultof this change of
contractortsubcomiactor cancellation ofpermit.A peanfiotb epcelied if work hatbeen performed.
stGxTnTR6 or OWNER or owner/buiWa) si ae GE r(�c OR (or UGC, as applicable)
PRINT NANM MatthewGiacchi PRINiTNAMEr�k.1I L. - ��'a
State of Rhode island. Countyof Providence
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