HomeMy WebLinkAboutCHANGE OF SUB-ACPlanning & Development Services
S J' 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: 11N 1121 Permft Number: 2110-0504
Site Address: 8901 Fort Walton Ave
Air Conditioning Unlimited State License CAC1818588 SLC License 20-28038
Original General Contractor (or Subcontractor)
Nieair Air Conditioning State License CAC041199 SLC License 10363
New General Contractor (or Subcontractor)
Reason IF Change Poor Performance
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 a re ult of this change of contractor/subcontractor or cancellation of
permit. A per ca o✓ca it if work has been perfor d.
SIG p ATORE bF OWNE or owner/builder) " SIGNATIIRE OF NEW GIRAL CONTRACTOR
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Slate of Plodda, County of St. Lucie County
The following ineWment aas aclmowledged�efore me Uda
PHILIP NISA JR
ty
State of Florida, Caunty of St. Lucie Coun
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i.I..�rJ..,. s
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of Notary
*Only e of subcontractor
•�'o S�NONMITTLER
•'� MYCOMMISSIONaGG203889
AeViee 6'/ 1A.2
yae FJ(i'IRES:June 11,2022
'?,dL3"''' Bonded Thru Notary PuNicUndWrI0111
KRISTIN BAITSHOLTS
®State of Floritla-Notary Public
a` Commission ft GG 278527
My Commission Expires
February 19, 2023