HomeMy WebLinkAboutCHANGE OF SUB-ACPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)4624553 Fax 4624578
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: 11/11/21
Site Address: 1918 LYNX DR
Air Candltloning Unllmltetl
Original General Contractor (or Subcontractor)
Nlselr Air Conditioning
New General Contractor (or Subcontractor)
Reason for Change Poor Performance
Permit Number: z11o•os2e
Licensecnc1e1a6e6 SLCLicense zazeo38
LiCenSe CAC041199 SLC License 10363
The undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its of£cers,
agents, and employees from all costs, fees, or damages arising from any and all claims of action for
any reason, which ma arise as esult of this change of contractor/subcontractor or cancellation of
permit. Apes t c not be cell if work has been perfor
SIGNAXM OF OWNER/(Or ownei/builder) 1 "3IGNA OFNEW ENERAL CONTRACTOR
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PRINT NAME 'r r'r.W (✓06441 If 0 FRINTNAw PHILIP NISA A
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State of Florida, County of St. Lucie County
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State of Florida, County of St. Lucie Coun
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""' KRISTIN BAITSHOLTS
State of Florida -Notary Public
Commission N GG 27E527
°F My Commission Expires
February 19, 2023