HomeMy WebLinkAboutREVIEWED, APPROVED, NOT STAMPED. Change of Sub Contractor - ACPlanting & Development Services
Building & Code Regulations Division
2300 Virginia Ave,
Fort Pierce, F1.34982
(772)4624553 Pax 462-1578
�I° Subcontractor 09° k:ancellation 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 Chaugc-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: 10/8l2021
Permit Number ; 2101-0331
Site Address; 5912Sunsel-Fort Pierce � __�.�_v—_�_
AIR CONDITIONING UNLIMITED LLC Original State LIcerse CAC1818588 SLC License 29727
4)
ri
g 1 General Contractor (cu Subeonh actor)
NISAIR AIR CONDITIONING State License CAC041199 SIX License 10363 .
New General Contractor (or Subcontractor)
Reason for Change
POOR WORKMANSHIP, POOR CUSTOMER SERVICE
_-_
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, hich may •ise as a result of this change of contractor/subcontractor or cancellation of
permit. A rI t can be carficelled if work has been per of e
SIG T HOP NER/(orowner/builder) 4SIG TUREO EW ENERA(L C+O,tN^jT}R�}yAC�' R
PRINT NAME k...-. .... m. PRINT NAME ��
State
of Florida, County of St. Lucie County
Ttre Collowing instnnnent was acknowledged befogrre me this
day of,,,_.._._� , 20�i, bY_.. `^
who is personally know to are
Ounnnot
has produced _os ID
wneorNutsry note
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r Y t f ee i
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State of Florida, County of Si. Lucie County
u+followin i Ulm air n rent was flc!1/�,'owled I ba`�on, mo tl's