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Home My WebLink AboutMisc Letters 9083119 Planning & Development Services T ' � � ` F Building & Code Regulations Division MVED QL 2300 Virginia Ave. o - Fort Pierce,FL 34982 MAY 17 2016 (772)462-1553 Fax 462-1578 PERMITTiNG St. Lucie County, FL 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: E • Irl- ILO Permit Number: SLC 1604-0201 Site Address' 207 N 39TH St.Fort Pierce,FL 34947 dBQYc=(` _24Nma%A L State License GZGo SLC License Original General Contractor(or Subcontractor) State License SLC License New General Contractor(or Subcontractor) Reason for Change Cancellation -- WO WC)7y VJAkS JO�.11✓ 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/builder) *SIGNAVJRE OF NEW GENERAL CONTRACTOR PRINT NAME PRINT NAME Boysie Ramdial State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County The following instrument was acknowledged before me this The /!ollowing instrument was acknowledged before me this day of 20Boysie by �P day of�,20��,b .,_ who is personally know to me Ramdial o is personally know to m or who has produced as ID. or o as r d as ID. Signature of Notary Date gnature of Notary Date *Only signature required for change of subcontractor Revised 07/21/14 AMBER FLENKER NOTARY PUBLIC STATE OF FLORIDA Comm#EE215692 ''^F Is Expires 7/11/2016 Apr 01 2016 11:09 PAUL STAHL 7726008099 p.2 HOME IMPROVEMENT CONTRACT PLEASE READ THIS Sold,Furnished and Installed by: Branch Name:Miami Date: (6 THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services 674 S.Military Trail, Deerfield Beach,FL 33442 Branch Number:60 Toll Free 877-903-3768 Fein#75-2698460,FL Lic#CCC058327,CGC1507093,CRCW858 Installation Address: ��3��s%� C T City State Zip Purchaser(s): Work Phone; Home Phwte: Cell Phone: Home Address: (If different from Installation Address) City State Zip E-mail Address(to-receive project communications and Home Depot updates): ❑I DO NOT wish to receive any marking entails from The Home Depot Project Information: Undersigned("Customer'),the owners of the property located at the above installation address,agrees to buy, and THD At-Home Services, Inc. ("The Home Depot")agrees to furnish,deliver and arrange for the installation (`Installation')of all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively,"Contract"): Job A am-wad... ) Products: Spec Sheet(s)t Project Amount Roofing Siding Ll Windows LJ Ins u_la� ❑Gutters I Covers ❑Entry Docs f 3� Roofing LJSiding Windows Insulation ❑Gutters/Covers ❑EntryDoors ❑ Roofing Siding Windows Insulation ❑Gutters/Covers []Entry Doors❑ LEI]Roofmg Siding Windows LlInsulation $ ❑Gutters/Covers❑EntryDoors ❑ le%of Caatract Annual due upon e:necution of this contract.Certain forms Total Contract Amount $ of payment uray require 100%payment prior to the start tithe project. Customer agrees that, immediately upon completion of the work for each Prcduct, Customer will execute a Completion Certificate(one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)included herein,at its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home,environmental hazards such as mold,asbestos or lead paint;other safety concerns, pricing errors or because work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary#�/2 37_&SS_U , included as part of this Contract,sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the tone you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets) before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the casts of materials,labor, expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination, plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYI4ENTS MADE,WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acte lance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between tutotner and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements,either oral or written,relating to said Products and Installation.Thiss Agreement cannot be assigned or amended except by a.writing signed by Customer and The Home Depot.Customer acknowledges and agrees that Customer has read, understands,voluntarily ac—ices the terms of and has received a copy of this Agreement. Ac ce by: Sub fled p "A Z, /'b X Customer's Signature Date Sales Consultant's�Siji�g.n��ature Datf X Telephone No. '7 ?g — Customer's Signature Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (as applicable) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DEI"ERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSMM DAY AFIFdt SIGNING TIM AGREE EAM-;T. THE STATE SUPPLEMENT ATTAR EUUU O CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN CUSTOMER'S STATE. NOTICE:ADDITIONAL TERr14S AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT Pao I of 2 05.0715 While-Branch File Yellow-Customer