1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665-7486
bpcustomerservice@semiolecountyfl.gov
CHANGE OF CONTRACTOR
A NEW BUILDING PERMIT APPLICATION IS REQUIRED FOR A CHANGE OF CONTRACTOR.
A NEW RECORDED AND CERTIFICED NOTICE OF COMMENCEMENT MUST BE SUBMITTED
ALONG WITH THIS FORM AS REQUIRED.
Date ___________________ Permit # ____________________
Property Address _____________________________________________________________
I, _________________________________________, as owner of the above referenced
property, request that Permit Number ___________ issued to
_______________________________ be reissued to ________________________________.
I agree to hold the Seminole County Building Division harmless and relieve it from any
responsibility or liability for any legal action or damage resulting from the change of contractor.
I will comply with Chapter 713, Florida Statues (Mechanics Lien). I further assume responsibility
for corrections, if required, or work performed under the first permit.
Owner certifies they own plans associated with this permit.
Owner Signature ______________________________________________________________
Print Owner's Name ___________________________________________________________
New Contractor's Name/Title _____________________________________________________
New Contractor’s Phone Number(s) _______________________________________________
STATE OF FLORIDA
COUNTY OF _________________
The foregoing instrument was acknowledged before me by means of [ ] physical presence or
[ ] online notarization, this _______ day of ___________________, 20___, by
_____________________________ (name of person acknowledging), who is [ ] personally
known to me; or [ ] has produced __________________________ as identification.
___________________________________________
Signature of Notary Public (Seal)
