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HomeMy WebLinkAboutChange of Contractor_GMS.pdfPlanning & Development Services Building & Code Regulations Division COUNTY 2300 Virginia Ave. • - Fort Pierce, FL 34482 (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: 2/10/2022 Permit Number: 2107-0386 Site Address: 8401 S INDIAN RIVER DR., FORT PIERCE, FL 34982 RANGER AIR CONDITIONING SERVICES, INC Original General Contractor (or Subcontractor) GMS SHEET METAL & AIR CONDITIONING New General Contractor (or Subcontractor) State License CMC125MI S SLC License 16282 State License_CAC181785B SLC License Reason for Change CHANGED SUBCONTRACTOR - NON-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 result of this change of contractor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed. SIGNATURE OF o ER (or owner/buitder) L( • SIGNATURE OF NEW GENERAL CONTRACTOR PRINT NAME- �� PRINTNAME Michael MazZilli State of Florida, County of St Lucie County State of Florida County of St. Lucie County The following in was acknowledged before me this _ T{fie fol{l�owmg instrument was acknowledged before me this ��_day of ent . 20�by[{ 1� ( lj by r who is personally kww to me who is personally know to me or as or h0 ras prat oed s lA—� tore or Date signature o Notary Dale � � ��ttrlr!uill/li�� *Only signature requi \� C�6Mpg�i subcontractor . Revised 07/21/19 ��O�td6S310,i 'P�,�% tiEOFFREY L. ROBINSON Notary PubliC, State of Florida * ; u, . .�*mil•* Commission No. GG983776 i►• _ ''•mry Commission Expires 0510312024 1122934 �9P 'yAo�ded TATE OF �k�o,\N