HomeMy WebLinkAboutCHANGE OF CONTRACTORS :J. ,.. PLANNING & .DEVELOPMENT SERVICES
• BUILDING & ZOWNG DIVISION
• �. 2300 VIRGINIA AVE
I'OR'I' PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
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�CHANGE OF CONTRACTOR — Change ( Contractor IS to be sigl}C(lanti norarized b)- (ce
and the n-w ct)rttraclor 0f'rccorc! fur file ctlrrenl permit. A neW
contra; % inforrrtatian and signiturC. ,l new Notice. of C'unrtnencentcnt miter be fihQ in the new cotitraetar} owner,
pelrttit attlthcatirnt must also be completed with new
for job > aloes greater than $2,500 (57.500 if A:`(' ClIjInge_0ut). �, recorded c0
cotuntencing any work. There is a $50.00 fee for the Change of C'alrtractur. s nart o
py Inu.l be submitted prior to
x C'ElANGE O! SUBCO1\`!'RaCTOR -- Subcontractor chartges are [o be cotTiPle tei� by the
The new
rac sttbcctrltraCtur mast [ill oul a Subcantractor A�,reentcnt Hornt. There is a $50.00 fee for the Change Contractor. crrtl contractor•
ae of Sub-
____,(�AI`'CFI.L•i'1'10�\� Ol� !'Is(t.\�17� -- 'i�l:c• cxnccifarturt of a pertttrt is acceptable only it nn ti��urk has hrcn cictnc
canoe laticttt of pertttit I; to be signed and limirt7ed b}' both rile owner and qualifier of record. There is no fee for
-- Permit Number;
Site Address: y, --
Urfl;inal C;(, Subcontrac'lor at' owrt�t btrilrlcr Sratc r_iccnsC CL
Ne>V (j(, .iltl�r onG" tCEtlr' - Slate L
_ 'LC 1-,iccnse
f(e.:tsolr tol'C'ancellatiort
Ito t,ndrrsis�rrr•�I .t.,, _ r..•_ .� �� - _- .
. _ •Kr�� rrr rnnerunrry .t[td maid hsrntleSs St Lucie County, its ofliccrt, at cr:ts and Cmplr)yCs y fmrtl all
cosh fees or drutra rS rlrr5in from riot tltrcr nl3 clann, rtrf uc'tic+n tJr ally rc2 ot�, %vttich nts)' tlr7cr as a resul[of this ch,ttt ul
+ L'JnrtdGlJr�Sltt)CUnt[8l'fal ur caaritlatton of Pe"Intt A permit cannot tic. can ed if work has been performed.
R (ill 01WIncr•buildarl - ..� , ....
SIC+?�rlTClkE CrE�l� CCU` t'R,�['T[?rt for n5'r4 (Fr-'. as aAl' b c.
--- — r7tf4k rulhfE_�tl`l�lrlc�_
+last (jr-r9o,rdr Crxriltyc)r St. Lucie Colinm
TIle 'i0lluttrt[g p:,t: •tt•c•ar a;r,.r�iGts�.:IcJ•,nl f avcmi itu:
of, �s}rst> to I,er,ossall t ,` - � _ i rv�•n t�. m�
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Sign �urefttrc o D _ ....
all State Wof KV E Moorem St:rt7f+HH 1 • .�g�:1.10112024
51e[_• of 1=ral:dn. ('our ty pf tir. la�yc C'pu,r�
rT�< rottns��;ry; a}•.fsart+err srac ;t, krr,�{:d�cd brlurc rx tFr�.
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Slgnmurc of
=d.'O'v % Notary Public State or Florida
Hannah E Moore
p• My .�n nm,ssron HH 017095
?a Air Eipires 07+0112024
PERMIT ff
STait
a1'Ci�r �-
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If,; L Cis P" I. I?.
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, LLC have agreed to be
(Company Namelindividual Name)
the _ Electrical Sub -contractor for Adams Homes of Northwest Florida, INC
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property 1D #)
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 purstiant to the
filing of a Change of Sub -contractor notice.
* CO,YTRACTOR SICNATI RE IQua ilit fierl
W Bryan Adams
PRl\"r IYANiE
29179
COt'NT%' CERTIF[('AT10N tvCA18ER
State of Florida, County of St Luc:9
The forfgoigg instrument wilts signed before me this day of
207� W. Bryan Adams
who is personally knotra Y, or has Produced a
Revised 11. 16.2016
c�NPA S TA
Q o A9IH Ip6 77
CPR AR,
ffflfIt 110
STAMP
St &CONTRACTOR 51GNATt1RE (Qualifier)
Timothy L Ehman
PRIW i\AUE
31748
COUNTI' CERTIFiCA� fO,Y Nt diltER ,._
Stitt or Florida,CGuntvor ST LUCIE
The roregoing Instrumeal was signed before me this _ day of
fkkau.-- /�_- ., 20_1_4-by Timothy L Ehman who is personaly known X.—or has produced a
as IdSTAMP
ion
Slgaaturt orNotary P 61it "'
Prinl Name of Notary Public
�,►�• Notary Public Slate of Florida
Laura Townsend
My Commission
m� HH 175435
Exp. 911312025