HomeMy WebLinkAboutChange of Contractor 9083119
r Planning& Development Services E
° Building& Code Regulations Division
2300 Virginia Ave.
d - Fort Pierce,FL 34982 MAY 17 20%
(772)462-1553 Fax 462-1578
PERMITTiNC
St. Lucie County, FL
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 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: Permit Number: SLC 1604-0201
Site Address: 207 N 39TH St.Fort Pierce,FL 34947
d�pYSt� _S2"M>A L State License C ZC046oBEEQ� SLC License
Original General Contractor(or Subcontractor)
State License SLC License
New General Contractor(or Subcontractor)
Reason for Change Cancellation top \Ajo7y v,�s Jo1JE
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. A permit cannot be cancelled if work has been performed.
SIGNATURE OF OWNER (or owner/builder) *SIGNAPORE OF NEW GENERAL CONTRACTOR
PRINT NAME PRINT NAME BOySie Ramdial
State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
The following instrument was acknowledged before me this TheoIlowing instrument was acknowledged before me this
day of 20_,by day of 20I�,by Boysie
�
who is personally know to me Ramdial t o is personally know
or who has produced as ID. or oas r d ;T�
as
,4 1
Signature of Notary Date nature of Notary Date
1g
*Only signature required for change of subcontractor
Revised 07/21/14 AMBER FLENKER
NOTARY PUBLIC
STATE OF FLORIDA
Comm#EE215692 .
y�!F}gta Expires 7/11/2016