HomeMy WebLinkAboutMisc Letters Jan 201610:44a Jensen Beach Plumbing 772-225-6779 P.1
Planning&Development Services
- 'J " '= Building& Code Regulations Division
a 2300 Virginia Ave.
Fort Pierce,FL 34982
(772)462-1553 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 jab values greater than 52,500 ($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: 01/20/2016 Permit Number: SLC 1512-0465
SiteAddress: 6105 Raintree Trail
Jensen Beach Plumbing State License FL#RF11067372 SLC License 24654
Original General Contractor(or Subcontractor)
State License SLC License
New General Contractor(or Subcontractor)
Reason for Change Customer went with another contractor
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 contractorisubcontractor or cancellation of
P e 't. A permit cannot be cancefled if work has been perfor
j S]GNATU ER (or owner/builder) SIGNATURE OF GENERAL CONTRACTOR
3F.ITT Nr,I•tE Lar,Il ,z �,:L�2�1`.w, PRINTNAME rn i ��.�IQ Ej*=
Snue of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
The following instrument was acknowledged before me this The following instrument was acknowledged before me this
'Lc:: day of 3 t:l.F\ 20_L�P_by day of_-6 1.9 " .20_&,,by
who is personally knowto me Loll Flu (� j�lZT�d!1 who is personally know tome
or w has p oduced as ID. or who has produced as 11).
�natureoA, otary .=�"A�'JatV .JACLYN F WILSON ;goatureorNotary
MyCo'.IMISS!ON#FF15977WILSON
Only signatu < e� rg P royat a'FbI Sit contractor
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g Florida VotaryService com [(407)M-053
Revised 07/21!14
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Jan 201610:44a Jensen Beach Plumbing 772-225-6779 p.2
1
U HUM
1086 NE Industrial Blvd, Jensen Beach, FL 34957
Phone (772) 225-6600 • Fax (772) 225-6779
License#RF11067372
St Lucie County Building Permit Office 01/20/2016
Hello,
Sorry for the inconvenience, but I need to cancel a permit SLC-'1512-0465 due to the customer
decided to go with another contractor. I am requesting that we get a refund and can you
please email me the refund amount.
Email address renee-ibolurnbing&bellsouth.net
Thank you for your time,
Renee Fuson