Change Of Contractor Hold Harmless (Page 2 of 4) in pdf

Change Of Contractor Hold Harmless Page 2

SAMPLE LETTER

FROM GENERAL CONTRACTOR TO BUILDING OFFICIAL

Date

Richard McConachie, Building Official

Building Department

City of Miami Beach

1700 Convention Center Dr., 2

Floor

Miami Beach, FL 33139

Re:

Permit # ____________________________

Address: ___________________________

Dear Mr. McConachie:

I, _________________, (qualifier) of __________________________ (company name)

am notifying you that my company will no longer be the General Contractor for project /

permit number____________.

Permit #_____________is still active, NOT EXPIRED.

I wish to withdraw from this job/permit because:

______________________________________________________________________

I no longer want to be held responsible for work done at the above-mentioned address

and have no objections to a change of contractor for this project/permit.

_______________________

Qualifier’s Signature

Printed Name

STATE OF FLORIDA

COUNTY OF DADE

Sworn to and subscribed before me this ____________day of ____________, 2008 by:

_________________________

Printed Name of Qualifier

[ ] Personally known to me; or

[ ] Produced Identification ___________________________

_________________________

Signature of Notary Public

(Seal)

Please hand-deliver this letter to Administration.

____________________________

_____________

Received by: Signature

Date

____________________________

Printed Name

Change Of Contractor Hold Harmless Page 2