HomeMy WebLinkAboutMisc Letters 09-23-16;01 .46 ;From: - To:7724621578 ;7724618722 # 2/ 2
PLANNING & DEVELOPMENTSERVICES
BUILDING& ZONING DIVISION RECEIVED
• 2300 VIRGIN AVE
FORT PIERCE, FL 34982 SEP 2 3 2016
(772) 462-1553 FAX 462-1578
CHANGE OF CON'T'RACTOR,-suiscONTRACTOR OR CANCELLA'T'ION OF'P'ERMT
PLEASE S)RXQT ONE OF THE F0LL0-Va1 G:-
CRA,NGE OF CONTRACTOR—Chane of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the current permit. new permit application must also be completed with new
contractor information and signature. A now Notice of lornmencement must be filed in the new contractor's name
for job values greater than $2,500 ($7,500 if A/C ange-out), A recorded copy must be submitted prior to
commencing any work.There is a$50.00 fee for the C innge of Contractor.
CHANGE OF SUBCONTRACTOR—Subcontractor changes are to be completed by the general contractor.
The new'subcontractor;must fill out a Subcontractor AgrJeement Form.There is a$50.00 fee for the Change of Sub-
Contractor.
,CANCELLATION OF PERMT—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 i`g no fee for
cancellation of the permit.
I
I
Date: 0 9/2 312 01 6 Permit Number: P094 4 t
Site Address:.x
GRIMES HEATING AND AIR CONDITIONING _State License RA0018071 SLC License 1711-7523
Original GC,subcontractor or owner/builder
tate License SLC License
NP GC,subcontractor
Reason for Cancellation REQUESTED FOR THE WRONG JURISDICTION S/13 MARTIN COUNTY.
The undersigned does hereby agree to indemnify and hold har+nless 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
Contra c 'r/subcontractor or cancellation of permit.A permit c''tnnot be cancelled if work has been performed.
ZSIC ATURE qF 'R(o caner/buildi'U
er) SIG R8 GEMR CONTRACTOR(orrnnccw CvC,as applicable)
RINT NAME... v ,Q� PRINTNAME 8S F V�1�6='
Stats of Florida,Count/of St.Lucie County State of Florida,County of St,Lucie County
T+�hee/foollllowing im;trummt was ucknowle:d6ed before me this Tile I Ilowing ingtiumCnt wRa aeknowledged�Cfb c dais
czi�.2=day o daY o t •2Q bY�, C
- !/" who i e•rsonall }oiown to m� ��...-.I��-�'✓??�_._____.___who i cEenalty known to
or who produc as IA, me or w "produe/41 as
� � tore of Nota nate ..Z
afore of Notary Date 9 x `G fina Notary �/ 4.
SANDRA HOHMANN
•StateofFlo.r.i.d .../•,"�"D'\°7'. SANDRA
AN.DRA HOHN
ANNVotary Public
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