HomeMy WebLinkAboutcancellation of permit 2005-0452Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed by the property owner, and the new contractor of record for the
current permit. A new permit application must also be completed with new contractor information,
signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's
name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Date: May 19, 2020
Site Address: 15375 Skyking Drive
Wayne Zimmerman - Comfort Control Services
Original General Contractor (or Subcontractor)
New General Contractor (or Subcontractor)
Permit Number: 2005-0452
State License EC13009437 SLC License 31572
State License
Reason for Change Please cancel this permit, NEW subpermit to main permit 19110014
SLC License
The undersigned does hereby agree to indemnify and hold harmless 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 contractor/subcontractor or cancellation of
permit. A permit cannot be cancelled if work has been performed.
SIGNATURE OF OWNER (or owner/builder)
PRINT NAME
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of 120_, by
who is personally know to me
or who has produced as ID.
Signature of Notary Date
*Only signature required for change of
Revised 07/21/14
* SIGNATURE OF NEW GENERAL CONTRACTOR
PRINT NAME Wayne Zimmmerman
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this ,, /
May of �!T Y 20Z by W4���ko�11
who is personally know to
or has An
ce as ID.
Signature of Nota Date
subcontractor
Notary Public State of Florida
4P N
Kimla J. Simone
Or
My Commission GG 957803
a Expires 05/1812024