HomeMy WebLinkAboutCHANGE OF SUB-ACPlanning & 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: 11/10/21
Site Address: 6118 Sllver Oaks
AIr Condltloning Unllmlted State
Original General Contractor (or Subcontractor)
Nlaelr Air Conditioning
New General Contractor (or Subcontractor)
Reason for Change Poor Performance
Permit Number: ztoa•osos
CAC1a78588 SLC License 20.28038
License CAC041199 SLC License 10363
I'he undersigned does hereby agree to indemnifv 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 sult of this change of contractor/subcontractor or cancellation of
permit. A permi ' a 7bec",,
e/ll/e/t�If work has been perform d�
SIGNA OFOWNBR (o owner/builder) *SIGNA OF NH NBRAL CONTRACTOR
Slate of Florida, Comty of St Lucie County
l
vwhoisperionallylat tome
„ or f 1J W -
Signature of Notary �t
ate
*Only signature required for
SrygNNON MI7't1FR
MY COMMISSION p GG 203669
�(PIRES:June 17,20�0
FRINTNAME PHILIP NISA JR
Slate of Florida, County of St. Lucie County
acknowledged before me this
�n 2t �ialrnlsnda.�
iSitnature of Notary Date
of subcontractor NEEM
-Notary Public# GG 278527sion Expires1g, 2023