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HomeMy WebLinkAboutChangeofSub2021C61UNNTY F L O R.1 D A 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 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 pennit is to be executed by both the owner and qualifier of record. Date: 4/2912021 Site Address' 6600 Peacock Rd. Port St. Lucie, FL. 34987 Permit Number: 2012-0618 Cardinal Roofing & Siding Company, Inc. State License SLC License Original General Contractor (or Subcontractor) Native Roofing Solutions LLC New General Contractor (or Subcontractor) Reason for Change Price of roofing rnaterials and work State License CCC1327871 SLC License 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 cancella n of d. pe it. A permit cannot be cancelled if work has been performed. ;NATURE OF OWNER (or owner nilder) SIGNATUREROF rENE.t7 Al CONTRACTOR g� PRINT NAMI d� _ � FRINTNAW .kd,p e' i � s •i'+i State of Florida, County of St. Lucie County The following imtnrment was acknowledged before me this day of VIV , 26A by who is personally know to me or who h produced as ID. Si ature of Notary Bate State of Florida, County of St. Lucie County The following instrument was acknowledged before me this day of Mof 2A , by 'i l`�%��_ has Signature of Notary *Only signature required for change of subcontractor Revised 07/21/14 V"'� MARIA MAHLSCHNEE NOTARY PUBLIC STATE OF FLORI©A Comm# GG176176 Expires 1/17/2022 oho is personaIIy knew to me 4-as in, P- 'S rf nr2it Bate Notary Public State of Florida Danielle King r My Commission GG 920935 Expires 101'2712023