Hybrid dielectric metasurfaces have emerged as a promising approach to enhancing near field confinement and thus achieving high optical nonlinearity using low loss dielectrics. Additional flexibility in design and fabrication of hybrid metasurfaces allows dynamic control of light, which is value-added for a wider range of applications. Here, we demonstrate a tunable and efficient third harmonic generation (THG) via hybrid metasurfaces with phase change material Ge2Sb2Te5 (GST) deposited on top of amorphous silicon nanostructutes. Fano resonance is excited to confine the incident light inside the hybrid metasurfaces, and an experimental quality factor ($Q$-factor) of 125 is achieved at the fundamental pump wavelength around 1210 nm. We demonstrate the switching between a turn-on state of Fano resonance in the amorphous state of GST and a turn-off state in its crystalline state and also gradual multistate tuning of THG emission at its intermediate state. We achieve a high THG conversion efficiency of ${eta} = 2.9*10^{-6}$ %, which is more than ~32 times of that of a GST-based Fabry-P`erot cavity under a similar pump laser power, thanks to the enhanced field confinement due to the Fano resonance. Our results show the strong potential of GST-based hybrid dielectric metasurfaces for efficient and tunable nonlinear optical devices.