HomeMy WebLinkAboutCHANGE OF SUB-AC (2)Planning & 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 ($75500 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: 7702 Hlblscus Rd
Permit Number: 2106.0378
Alr Condllloning Unllmlletl State License CAC1818588 SLC License 20-28038
Original General Contractor (or Subcontractor)
NlsalrAir Conditioning State License CAC041199 SLC License 10383
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, whichpay arise as a�ult of this change of contractor/subcontractor or cancellation of
permit.;A per ce t be c� died if work has been perfor e
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SIG TUBE OF�o/�'tw,Npire((or,,o/w�nedbuilder) * SIGNA'1'URH O G NERAL CONTRACTOR
PRINT NAME 11l((y' tom/'/ �P FRINTNAras PHILIP NISA JR
State of Florida, County of St. Lucid County
Th following ant was eclmowledg beforeVme ttis
! 11 day of V 201J by
whoris ccreonallv lmow to me
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Signature of Notary Date
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CAMMISSION 0 GG 203089
Ravi db'1'1'�EIRES:June1l,g
State of Florida, County of St. Lucie County
F.T.f!YS'7tf RfllisSTa'T�71�r1
of NOVEMBER
of
�aaeture of Notary
""""� KRISTIN BAITSHOLTS
subCOntraCtOY = State of Flo ritle-Notary Public
Commission # GG 278627
W; My Commission Expires
February 79, 2023