HomeMy WebLinkAboutChange of Sub-ElectricPlanning & 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: 1/11/z1
Site Address: saoz Eircn or
APPEX ELECTRIC
Original General Contractor (or Subcontractor)
JGE II INC
New General Contractor (or Subcontractor)
Reason for Change Poor Performance
Permit Number: z1o�-osay
License Ecl3oos343 SLC License
L1CeriSe ER13015398 SLC License 31148
The undersigned does hereby agree to indemnifv and hold harmless St. Lucie County, its officers,
agents, and employees from allocosts, fees, or damages arising from any and all claims of action for
any reason, ich By arts s esult of this change of contractor/subcontractor or cancellation of
permit. A,p�mi am c elled if work has been performed.
SIGN�a Q'•OWNE (or ow..n/er�/builder) 'SWNATURI�OIr NEW GGi991tAL CONTRACTOR
no .avf. /IY�sk W 1.4q-�oJ,4D PRINT NAME JOHN k-3M L' KO
State of Florida, County of St. Lucie County
The following insq^Wment was acknowledged before me this
0day of-1iGl't\ 20�„ by �1CeC�
ItIlk t\,�\ a62 who is is pew to me
Signature of Notary Date
or ho has produced s ID.
State of Florida, County of St. Lucie County
The following insWment was acknowledge—d before me this
day of A.1� 20�y
0 who is personally know to me
ho has produced L- as ID.
111ZZ
ignature of Notary Date
*Only iqq��yy,� re rgIQApN®NMII'F4ERchan e of subcontractor N"P."'••_ SHANNGNMITILER
;•y,.'�•""•., ; MYCOMMISSION 8GG203869
MY COMMISSION # GG 203869
Revised EXPIRES: June11,2022 EXPIRES: June11,2022
e` m�'BFF,ft°``•Bonded Thru No PuNb UMemtCera
Neoov °: Bonded Thru Notary WWic Undemitar �Y