HomeMy WebLinkAboutchange of contractorUNT
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PLANNING & .DEVELOPi1IENT SERVICPS
BUILDING & ZONfNG DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
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� CIJANGE OF CONTItACTOR — Change ol-Conp'acfor is to be Signed an(I n�,rarr�
and the nL+.t contractor ul'icl:ord for the Current permit- A nea'
cc�n[ractnr infurmatutn and ;io _cd b)� the flruperty otiwter.
anaturc. �l ncti Notice. of C'[Jrntncncemet�+ttru�u l�clifilcttlsin tl>L tnew contractowill rlrnG
tiJr Job talus; greater than $2,500 tS7.s00 if A/C "Inge-
cnntmencirtn any v�'ork. T'he" is a S50.00 fee fnr the Chang, of�rC not • recorded copy tnu;t be ctrhntitted Griot' to
x CHANGE (A SUBCON f RACTft Snbcontraceor. changes aye to be ctantPlated hti' the 1r
Con ncty stlbc[mtractor most rill otlt a Subcorttr,r,tor A��reenlent FOI-1)t. There is a 550.00 fee for [h
Contractor. ,encrat contractor
e Chance of Sol�-
('A1�rC F;1.1..1'f f0)�' p}• cxnceElarin of �l Inruut is acc�.E,table only 11 nn hurl: h;�,
( ,rt;ellati,�n of Permit 1$ tc, be Stg;lcd and nclrarized by l,a!h the otvncr and qualifier of'record cancellation ol'tile permit. Felt donc-
cad Tilere is no fee for
Date: {
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=071OV2024
Slate or Flor tla MpprerwOn HH 0171)99OV2026
PERMIT # 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 Name..lndividual Name) Y ` --
the Electrical _ Sub -contractor for Adams Homes of Northwest Florida, INC
(Type of Trade) (Primary Contractor)
For the project located at
_ Y 3 �SPcr���-
(Project Street Address or Property Tax ID 11)
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 SIG,NATI'RE tQualifierl 5i A.COYTRACTOR SIGNATURE
(Qualir-er)
W Bryan Adams Timothy L Ehman
FR. 11AhIE PRI\T NA41E
29179 _ 31748
COUNTY CERTMcATIo N(h{',mm— COI:,\T4' CERT#FICATIOv �[ itSER
State or Florida. Counq or St LUcle ST LUCIE
5[Ate of Florida. County of
The foregoing instrument tins signrd before me this dayof The foregaing instrumeal" as signed before mt this ! da5 of
W l3ryan Adams
1--fk -17 ,2p. ,4, Timothy L Ehman_
Who is ptrsanolly known t or has produced a whe is Personalh known —).(—or has produced a
as id tifiration. as identirira Ion.
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signalureorNotaryP blir
P t Name art► 7 Public \\1111111ttlf�r!!��
\`\\\\ S� STD !/l��i Prinr \'a�mr o�fVotary P` uylit���
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/ram
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4� Notary Public State of Florida
Revised 11. 16 2016 !' ; * ` YI.,
Laura Townsendt My Commisalon106f77 S �ff' PIN 175435
Z 0 ;mod e orn Exp. W1312025
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