HomeMy WebLinkAboutMisc Letters irr
Planning&Development Services
Building&Code Regulations Division
2300 Virginia Ave.
Fort Pierce,FL 34982
(772)162-1553 Fax 462-1578
CHANGE OF CONTRACTOR
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 value's 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. Any cancellation of permit must be executed by the owner or qualifier of record.
Date: Z3 I S Permit Number: ; 0 7 4V&4-
Site Address: ' �e,,,� 1�N $ CCA
ki\ 0 State License C�L �S(19
: t SLC License
Original General Contractor(or Subcontractor)
State License SLC License
New General Contractor(or Subcontractor)
Reason for Change
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.
SIGNATURE OF OWNER (or owner/builder) •=N .OF NE GENE CONTRACTOR
PRINT NAME '
State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
The following instrument was admowledged before me this The followingiffWment was aclmowl before me this
day of .20.by JJday of r 2t byl /X� F
who is personally know to me who is ally lmow to me
or who has produced as ID. or o has roduc ID41.
Signature of Notary Date Signature of ry Date
*Only signature required for change of subcontractor
AUDREY 8.HWpHREY
,y
#: •e 174772MECOMMISSION March 6,2019
nd Thru Nolen/Public Unde-kem
R hd Bo ed