HomeMy WebLinkAboutCHANGE OF CONTRACTOR 3-1-19ISCANNED
BY
-St Lucie County
Planning &IDevelopment Services
J Building & Code Regulations Division
2300 Virginia Ave.
r Forth Pierce, FL 34982
(772)46I-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: 3.1.2019
Site Address: 8038 S Ocean Drive
Permit Number: 1805-0033
Sunshine Roofing State License SLC License
Original General Contractor (or Subcontractor)
Michael Kevin Walsh Roofing Inc. State License CCC1330084 'SLC License
New General Contractor (or Subcontractor)
Reason for Change Cant do the lob right now
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.
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&NATURE OF OWNISR (or owner/buil �//
PRINT NAMEfJ,
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State of Florida, County of St. Lucie County
The following instuuint wasacknowledged before m8 this
7/C_&1C C1G_ whstA personally know to me
or who has r duced• as -
Signature of Notary
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Revised My Commission GG 092440
Expires 07/27/2021
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S G _ATURE OF W.GENERALCO • RAC O
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State ofFlorida,_County of St. Lucie County
The fellowing'iitsOme0was
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is personally know to me
—as�°I-, �--7,dr
Signature of Notary �J Date
Notary Public Stato of Florida
Frances Donza
My Commission GG 092440
Expires 07127/2021 , ^ ^