HomeMy WebLinkAbout20200813094312228PLANNING & 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:
— Chanee of Contractor is to be signed and notarized 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 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-
Whce�ll(ation
for.
ANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
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: iT
Permit Number: �"
�.117-0 -7
Site Address: 1 L a t L JC, N J) ` �/ ���1�}
iii 4-1 (___ State License -L ! ° "� o J 0 C 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 fi-om 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 el end if work has Porn performed.
SIGNATURE OF OWNER (or owner/builder) SIG GENERAL CONTRACTOR (or new GC, asaIpplicable)) �
PRINT NAME PRINT NAME 6h �y°^—�+0 Ph� _(1`•—
�'` --(4
State of Florida, County of SL Lucie County
The following instrument was acknowledged before me this
20_, by
_who is personally known to me
or who has produced as ID.
Signature of Notary Date
Revised 04/15/16
State of Florida, County of SL Lucie County
The following instrument was acknowledged before me this
day of atq, 20Wby
chy,i4 lcipQei who soersonally known to
mg or who has produced as ID.
I3-�0 —0
Signature of Notary Date
=M rpR� Notary Public State v(FlondO
Linda hl Broome
,, MY Commission GG 224487
7.u1ETWTMM'P 36—
Fort
,
772-466-2400 #iiFax: 772-466-3053
August 13,2020
Rt: f ermn Hzuui-uui
Joyce Wilson
3407 Roselawn blvd
Fort Pierce, FL 34982
To whom it may concern:
Seacoast Air Conditioning and Sheet Metal, Inc. would like to cancel the above
permit #2007-0077 from address Fort Pierce, FL 34982 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.
S(iinnc'e,ryely,
Christopher P. Lange]
President
"Don't Roast Call ,Sea Coast"