HomeMy WebLinkAbout20200813094150413PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 FAX 462-1578
CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING:
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
contractor information and signature. 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. There is a $50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Contractor.
CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
ancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: 9- t3'aC) 9-0
Permit Number: � `oo l'
Site Address: 2)[6- /c, k e U 1 e W C.- i r, / ? '�-O/
5,fQ (c:,eS-% Alt: [/ /t State License%a� rMCd3SU d
G SLC License
Original GC, subcontractor or owner/builder
License SLC
New GC, subcontractor
Reason for Cancellation
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 Z77� ork h=77._
SIGNATURE OF OWNER (or owner/builder) SIGNAT I N(E,R�AL CONTRACTOR (or new GC, as applicable) �% t
PRINT NAME PRINT NAMEC 16 �✓'1"�}� ¢t- z GLiV `� t{Il
State of Florida, County of St. Lucie County State of Florida, County of St. Lucie County
The following instrument eas acknowledged before me this
or Mic, has produced_
Signature of Notary
Revised 04/15/16
20 ,by
who is personally known to me
as ID.
Date
The following instrument was acknowledged before me this
6'3 day of �)Lk, 20_�L by
ph6. YYIQ� who is pe onally crown to
me or who has produced as 1D.
clill nArL 4 (!nCTCYlk %-Ib-x2®
Signature of Notary Date
=odY�oy Notary Public Slate of Florida
F Linda H Broome
7�<, p• My Commis: -gin :,G 224487
?or pow Expires oer:,
August 13,2020
RE: Permit #2007-0348
Christopher Adams
3215 lakeview cir 12201
Fort Pierce, FL 34949
To whom it may concern:
Seacoast Air Conditioning and Sheet Metal, Inc. would like to cancel the above
permit #2007-0348 from address 3215 lakeview cir. 12201 Fort Pierce, FL 34949
for the HVAC change out. The customer has decided not to move forward with a
new A/C unit. If there is a new A/C unit at this address it was not done by
Seacoast A/C. If you have any questions or concerns please call our office at
772-466-2400.
Sincerely,
, --
Christopher P. Langel
President
"'Don't Roast Call ,Sea Coast"