Change of General Contractor Form
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10 Print Form JOHNSTON COUNTY INSPECTIONS DEPARTMENT 309 E MARKET ST SMITHFIELD NC 27577 ~ PHONE 919 989 - 5060 ~ FAX 919 989 - 5431 GENERAL CONTRACTOR CHANGE FORM This form is to advise the Johnston County Inspections Department that the original contractor listed on the permit referenced below has been replaced and request the permit be amended to reflect this change This form MUST be submitted in person at the Johnston County Inspections Department PLEASE NOTE THE FOLLOWING REQUIREMENTS 1 If the original general contractor being changed pulled the permit , the new contractor must purchase a new permit and pay all applicable fees for a new permit 2 If the property owner homeowner pulled the permit , we will need the new contractor to fill out this form and sign the bottom taking responsibility for the job Permit Information PERMIT NUMBER PROJECT NAME PROJECT ADDRESS City State Zip Code LOT NUMBER SUBDIVISION Contractor Change Details ORIGINAL CONTRACTOR NAME ORIGINAL CONTRACTOR LICENSE # NEW CONTRACTOR NAME NEW CONTRACTOR LICENSE # NEW CONTRACTOR ADDRESS NEW CONTRACTOR PHONE # Regulations The new general contractor must sign below agreeing to assume all responsibility for the project Once the form is submitted to the Johnston County Inspections Department , the permit will be amended to reflect the new contractor Please make a copy to keep for your records SIGNATURE DATEPage