HomeMy WebLinkAboutCHANGE OF SUB-ACPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Avet
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. 11111121
Site Address: 8110 Bamboo Dr
Permit Number• zloe-ozsz
AIr Conditloning Unllmlted State License CAC1818588 SLC License 20.2so3s
Original General Contractor (or Subcontractor)
NlealrAlr Conditioning State License CAC041199 SLC License 10363
New General Contractor (or Subcontractor)
Reason for 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 ay arise as a re It of this change of contractor/subcontractor or cancellation of
permit ' `can be cage edwork has been perfor
amue man nunvaa r rnwner/huilderl 'SIONA O GENERAL CONTRACTOR
PRINT
State ofFloride, County of St. Lucie Comty
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*Only signature required
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MY COMMISSIONg1G 2022
EXPIRES: June ttben�
PRINT NAME PH I L I P N I SA J R
Stets of Florida, County of St. Lucie County
ioehumant wee acknowledged before me this
NOVEMBER 40 zt �vnalawsa�R
iilgdature of Notary Date
of subcontractor .,; KRISTIN BAITSHOLTS
,State of Florida -Notary Public
Commission N GG 278527
9°c My Commission Expires
February 19, 2023