Fillable CHANGE OF CONTRACTOR/CONTRACTOR REQUEST TO WITHDRAW Change of (Broward County)

Fill Online, Printable, Fillable, Blank CHANGE OF CONTRACTOR/CONTRACTOR REQUEST TO WITHDRAW Change of (Broward County) Form

Use Fill to complete blank online BROWARD COUNTY (FLORIDA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CHANGE OF CONTRACTOR/CONTRACTOR REQUEST TO WITHDRAW Change of (Broward County)

On average this form takes 7 minutes to complete

The CHANGE OF CONTRACTOR/CONTRACTOR REQUEST TO WITHDRAW Change of (Broward County) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 28 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Broward County (Florida) forms online.

BROWSE BROWARD COUNTY (FLORIDA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Environmental Protection and Growth Management Department
BUILDING CODE SERVICES DIVISION | BUILDING PERMITTING
2307 West Broward Boulevard, Suite #300 • Fort Lauderdale, Florida 33312 • 954-765-4400 • Broward.org/Building
CHANGE OF CONTRACTOR/CONTRACTOR REQUEST TO WITHDRAW
Forward:
Change of Contractor(s) on an issued permit(s) is requested by the owner of record or the contractor for the
permit and is accomplished in accordance with the Florida Building Code (FBC) Section 105.6.1.5.
OWNER REQUESTED CHANGE OF CONTRACTOR:
When an owner requests a Change of Contractor, the owner shall submit a notarized letter to the Building
Official of the Building Code Services Division, stating the reason for the change being required and
stating that the Building Official is held harmless from any legal involvement regarding this request. The
existing permit may be cancelled but is not necessary.
In addition, the owner shall submit proof to the Building Official that the contractor on record for the
subject permit has been notified of the intent to change the contractor. The proof shall be either a copy of a
certified, notarized registered letter (must include original return receipt) sent to the contractor by the
owner, or by a notarized letter from the contractor stating he/she is aware of and has no objection to the
Change of Contractor request.
When an owner requests a Change of Sub-Contractor, the procedures as above apply, with the exception
that both the owner of record and the contractor shall submit a hold-harmless letter to the Building Official
(form on reverse side).
Any portion of work already done covered by the Contractor or Sub-Contractor shall be suspended and no
further inspections performed until a new contractor or sub-contractor has obtained a new permit.
CONTRACTOR REQUEST TO WITHDRAW FROM A PERMITTED JOB:
When a contractor wants to withdraw from a permitted job without cancelling the permit, the contractor
shall submit proof to the Building Official that the owner of record has been notified, and submit a
notarized letter to the Building Official, stating that the Building Official is held harmless from any legal
involvement.
If a Sub-Contractor wants to withdraw from a permitted job without cancelling the permit, the Sub-
Contractor shall submit proof to the Building Official that the owner of record and the Contractor have
been notified, and also send a notarized letter to the Building Official stating that the Building Official is
held harmless from any legal action.
Broward County Board of County Commissioners
Mark D. Bogen • Lamar P. Fisher • Beam Furr • Steve Geller • Dale V.C. Holness • Nan H. Rich • Tim Ryan • Barbara Sharief • Michael Udine
Broward.org
CHANGE OF CONTRACTOR
In accordance with the Florida Building Code Section 105.6.1.5
Permit # Job Site Address Street
City
Name of Owner
Name of Original General or Sub-Contractor Cert. #
Name of New General or Sub-Contractor Cert. #
Reason for Change _
This instrument is for the purpose of advising all concerned that the person(s) whose signatures appear below will hold the Building
Official of the Broward County Building Code Services Division and Broward County harmless as a result of this Change of
Contractor.
The undersigned agrees to indemnify and hold harmless and defend Broward County, its agents, servants and employees from and
against any claims arising out of this Change of Contractor through the act, error, omission, or negligent act of the undersigned, its or
his agents, servants, or employees or any act, error or omission or negligent act for which Broward County or its agents, servants,
servants or employees are alleged to be liable.
Change of Contractor Change of Sub-Contractor
(Property Owner) (Contractor)
(Property Owner)
Sworn to (or affirmed) and subscribed before me by means of physical appearance or online notarization,
this day of 20 (year) by (name of person)
My Commission Expires
Notary Public State of Florida
(Contractor)
Sworn to (or affirmed) and subscribed before me by means of physical appearance or online notarization,
this day of 20 (year) by (name of person)
My Commission Expires
Notary Public State of Florida
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CHANGE OF CONTRACTORCONTRACTOR REQUEST TO WITHDRAW Change of (Broward County)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 8 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document