HomeMy WebLinkAboutCHANGE OF SUB-ACPlanning & Development Services
S J I 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: 11I17121
Site Address: 11850 TWIN CREEKS DR
Air Conditioning Unlimited
Original General Contractor (or Subcontractor)
Nleair Air Conditioning
New General Contractor (or Subcontractor)
Reason for Change Poor Performance
Permit Number: 2109-0854
L1ceILSe CAC1818588 SLC License 20-28038
License CAcoatass SLC License to3s3
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 result of this change of contractor/subcontractor or cancellation of
permit. A per c� not b � ce d if work has been perfor
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SI(7 TI OF O (or owner/builder) " SIGNATURE OF NEW&LALCONTRACTOR
PRINT
State ofFlorida, County of St. Lucie County
Signature of Notary
*Only
�(PIRES:June�
PHILIP NISA A
State ofFlodde, County of St. Lucie County
of NOVEMBER
of subcontractor
[ate of Florida-Notcry rumi
Gommissian N GG 278527
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