HomeMy WebLinkAboutChange Of ContractorPlanning & Development Services
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.
t
Date:
Site Address: 5 0 Nettles Blvd., Jensen Beach, FL 34957
Dodd Enterprises
Original General Contractor (or Subcontractor)
Cold Remedy A/C Inc.
New General Contractor (or Subcontractor)
Reason for Change for economic reasons
Permit Number: 1405-0142
License CMC124958 SLC License 25802
State License CAC048125 SLC License 9691
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 result of this change of contractor/subcontractor or cancellation of
permit. A permit cannot be cancelled if work has been performed.
SIGNATURE OF OWNER (or owner/builder) ' SI ATURE 4 NEW GENERAL CONTRACTOR
PRINT NAME P NAME/t! �L.?�
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of. 20_ by
is personally know to me
or who has produced as ID.
Signature of Notary Date
State of Florida, County of St. Lucie County
The following Tent was acknowledged before me this
day of 20�byc�L-�
who is personally know to me
or who h oduced as ID.
Signature of
*Only signature required for change of subcon
Revised 07/21/14
SRARON K. NEWMAN
My COMMISSION p EE 880008
EXPIRES: April 20, 2017
Bonded Thru Notary Public Undervmters„