HomeMy WebLinkAboutCHANGE OF SUBCONTRACTOR4-
FaE CV l-"..Fi e,.
Planning & 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
JUL ? 6 201E
PER.rAITTiNG
St. Lucie County, FL
SCANNED
BY
S$. ucleGounty
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: JULY 15, 2016
Site Address: 7 VILLAS DEL NORTE
COMFORT CONTROL
Original General Contractor (or Subcontractor)
PIONEER COOLING & HEATING
New General Contractor (or Subcontractor)
Reason for Change CHANGED SUBCONTRACTOR
Permit Number: 1603-0341
License CACO24379 SLC License 8288
License CAC1817251 SLC License 28705
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/bttilder)
PRINT NAME In)4 rw&1-' bl (-C NYAAf
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
/S-*day of J L[ LY . 20 A., by Mem,e L* wy
who is perso� ow to me
or who has produced —� as ID.
�Dass.L�-,tF-w� IJawAt� 'lam t.Gl b
Signature of Ngwry Date
" SIGNATURE OF NEW GENERAL CONTRACTOR
PRINTNAME MATTHEW LYLE WYNNE
State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this
day of I LI /L1 , 20I L, by i"d—LNe w„u,e
who is personally know to me
or ,Jo
�has
�produced as ID.
Signature ofNottdry Date
*Only signature required for change of subcontractor
Revised 07/21/14
gyp; ova,,, OOROTHY ANN OASION
Notary Public -'State of flotldq
My Oo lM. Expires Oct2,'2016
°7 Commission N.FF'615228
N'' %°; ���� Bonded Through National Notary;Assn.