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Home My WebLink AboutCANCEL LETTER REQUEST 1/25/22, 11:03 AM To: +1 772-462-1578 From: +1 954-971-1752 Request to cancel permit 9940 s Ocean Drive Page 1/3 - PLANNING&DEVELOPMENT SERVICES CC_1VFo r--T M BUILDING & ZONING DIVISION J41V e 2300 VIRGINIA AVE �x a�?OZ? FORT PIERCE,FL 34982 (772)462-1553 FAX 462-1578 CHANGE OF CONTRACTOR,SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECT ONE OF THE FOLLOWING: , CHANGE OF CONTRACTOR--Change of Contractor is to be signed and notarized by the property owner, and the new contractor ofreeord for the current permit.A new permit application must also be completed with new contractor information and signature. 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.There is a$50.00 fee for the Change of Contractor. CHANGE OF SUBCONTRACTOR—Subcontractor changes are to be completed by the general contractor. The new subcontractor must fill out a Subcontractor Agreement Form.There is a$50.00 fee for the Change of Sub- Contractor. _CANCELLATION OF PERMIT—The cancellation of a permit is acceptable only if no work has been done. Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for cancellation of the permit. Date: f-- 7 � Permit Number: 2102-0485 Site Address- x9940 S Ocean Drive#703 Jensen Beach FL 34957 Statewide Windows and Doors,Inc State License M),-9i M6Z SLC License Original GC,subcontractor or ownerlbuilder State License SLC License New GC,subcontractor Reason for Cancellation Homeowner is deceased,heirs did not want to complete,job was never started 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 f�cb ractodsubcor t ac or or•cancellation of permit.A permit cannot be cancelled if work leas been performed. 1GNATu F OP OW13 R(or own r/iiuilder} SIGNATURE Q NEIW.CONTRACTOR(or now GC,as applicable) PRINT NAME Monica2-obel,Successor Trustee PRINTNAME A YP e+1-rmJ!/! Siato of Alorida,County of St.Lucie County Slate of Plodda,County of SL Lucie County The ro lowing instrument was acknowledged before me This The followin 1,instrument was acknowledged before me this -7Z• da of 'n r zo 2Zby' {�( _ dayof ..a 20�ZX by�l ��nlrl1„rn/� 1�t1 who is personally known to me who is personally known to h has produced I,L, as u), me or has ro aced as!D. Signature of Notary Date l rl` l a L L SI ature of tary Date Revised 04/15/16 KIMBERLYAKElLY Commission O GG 208493 1111) SHEALYN REYNOLDS` CammissionExpires04-1e-2022 Notary Public-State of Florida ,t �.`•J BoadedThrough-Cynanotary =. �= Commission N GG 967632 of:/ Florida•Nolary Public My Commission Expires ��0411t11�� arch 1 02.4-. s 1/25/22, 11:03 AM To: +1 772-462-1578 From: +1 954-971-1752 Request to cancel permit 9940 s Ocean Drive Page 2/3 Statewide Windows&Doors, Incorporated STATEWIDE 3725 Investment lane �06Q1" West palm Beach FL 33404 ton lfzozl Statewide 'Windows and Doors, Inc. PROJECT CANCELLATIONAGREEMI N-r i KornilofY',Thcresa ` 9940 S Ocean Dr 703 .. JENSEN BEACH,FL 34957 Re: 9940 S Ocean Dr 703—Contract Cancellation Request Property Owner($): Hereby request cancellation of the Original Contract dated January 19,2021. Per the cancellation terms, the Company is filly cntitied to retain 1.009% of the deposit ftrmished. The.Company shall agree to refund a portion of the deposit to the Property Owner(s)in the amount of$1,750.00. As a condition of the refund,both Property Owner(s)and Company fully acknowledge a complete release of obligations onto to each outer along with a release of any liabilities stipulated within.the Original Contract.The Property Owner(s)also acknowledge and agree as A condition orthe partial refund that Property Owner(s)and any affiliated parties to Property Owner(s)shall cause to remove any and all public remarks of disparagement towards the Company and shall refrain from any further private or public actions of slander bgafns(the Company. Any breach of these terms shall result in an inunediate default of this agreement and Property Owners)shall be responsible for immediate repayment to Company upon written request. Property Owner shall be responsible for all legal fees that the Company may incur to recover repayment upon default of Property Owner(s), X Date: I'(, ��' cf. Printed name: �U� 'f� (.