HomeMy WebLinkAboutChange of Sub-Contractor - Electrical _ PLANNING & .DEVELOPINxENT SERVIC ES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462.1553 FAX 462-1578
CHANGE OF CONTRACTOR. SUBCONTRACTOR OR CANCELLATION OF PERMT
YL ASf -SE - . INC M) 7 fj ING:
CHANGE OF CONTRACTOR-Change of Contractor is to be signed:alai tr,marized by the rroperty owner•
and the oe11 uamrac•tor ol'rccoid for the current pcnim. A new permit application )-must also be completer) with new
contractor information and signature. A new Notice of C'umrnencemcm must be riled in the new contractor's name
for job values greater (ban S2,500 (S7.500 if A!'(' Change--out). A recorded copy inum be submitted prior to
commencing any work.There is a$50,00 fee for-the Change.of Contractor.
x C M. NGE OF SUBCONTRACTOR - Subcontractot changes itrr:to be completed by the.general contractor.
The new subconlractor mast till out a Subconira;:(or Agrceriwnt Form.There is a S50.00 fee for the Change of Sub-
Contractor.
Crt NCEL1,ATION OF )'1JCNJ17-- I'llc cmiceif-Arioll of.-I perallt tS acceptable only 11 no v ur'k hits been done.
('Pricellation of perwit is to be signed .rod notarized by 1%wh the oi�,,ner and qualiF.:r of record. There is no fee for
Cancellation of the permit.
Date: _ It _ _ Permit Nurtther: .gip .
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Erman Electrical Contractor, LLC have agreed to be
(Company Name?Individual Name)
the Electrical _ Sub-contractor for Adams Homes of Northwest Florida, INC
(Type o Trade:) (Primary Contractor)
For the project located at �2_1 r
(Project Street Address or Property Tax 15II)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St, Lucie County will be advised pursuant to the
Filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATI RE(Qualifier) Sl'R.CONTRACTOR SIGNATURE(Qualifrri
UV Bryan Adams Timothy L Ehman
PRINT NAME —�— —_ —,-� PRATNAME •.. �.
29179 31748
COt-NTY CERTIFICATION NV 1BER� COUNTY CERTIFICATION Nt NIBER
Srste of Florida,county or St Lucie Start of Florida.C000ypr ST LUCIE
The foregoing instrument nas signed before me this day of The foregoing instrumenl was signed brfore me this (412.10
.201L,b) W- Bryan Adams �� ,au A Timoth L Ehman a
- > Y_...�— +
--
Who is personnlly known Y, or has produced a who is personalty known-.or has produced a
as id tifscation as idtnliftra Ion.
STAMP STA'.SP
S; at nrN F lie Signalurcol'NotaryP blic -y�•� ,
P t Same of N oy Public 0%%III"twil 19/ Print tame of Notary Public
,••a11J55ION i
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