HomeMy WebLinkAboutchange of contractorPLANNING & DEVELOPiNZEN7' SER%'ICES
• BUILD-INC, & ZONING DIVISION
2300 VIRGINIA AVE
FOR';(• I'1ERCL,, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE UT C()VTRr#C]'OR, SUBCONTRACTOR OR Cir
ANCELLATION
1'LEAI C.r c�NL D aL-1 -' IN
_CHANGE oi, CONTRACTOR - Change of Coalracttlr is to be �'igircd antl rtp4uized by the property and the r.;►�� con[rai-1or of-rccortl foJ (he iu.rrCnf pernul ,A new•
con[raclOr inform3liun Ind signatuic. A nr,A Notice. of Cumtnrncelrt,rnt mtLu be filed in the new contractor k orwrtet.
penitrt altiplication must also be corlti�letcd wt[h 11eLL
for dub (aloes sealer (hart S2,500 (S7.�00 if A C'
cntntu4ncin0 r CtlaJlg2•otr() :� recorded cu r amc
an) work- 7 hcrC is a SS0,00 fee for the Ch ]ngc o!' C'nntra a or. p} must be submitted
X C.11ANGE ()): SUBCON] RAC fft _ StJbconttractot Chdit CS 8iC [fj be C01]] ie(ed h�. {, J Prior t(!
o new subcontractor must fill out a Subcutttractoi Aot•eerllent Form. There is a S50.00 fee for the o
Contractor. � ttte ;,enLral contrrtctur.
Change of Sul)-
_ _ _Cion (!f .L "1 ION Op )'l:it11717' . ! he. canceflarlom of a ltcrtlU[ is accc.l)trtblc only i! nts �rori; It,,, hc� r
cince llat oll f l,ertnit t, It7 f}e .�rfrtcll :arttl It[�t;trtzed b� bo!h the oernct ,t1d q[ra![Fir tit recur
canccllatinn ol'thc permit. l dr .or
d. f'hcrc is no fee for
Da te:
PcArmif Ntin]ber:
Site Addl'c:.ss:
Ur[i;inal (:i(,, subcontractor or i a'`f.lt jot - - Stote License
License
New (}C', suhet)nta,lClut ��YStalc l..ice+t e� -� 7s1( l..iccn:e J �
Re.isotl fur
1 he.17c.r5iynCd (Ine, h,,J
- „ rl`"l:trly stud hLAd ItarntlaSS $t Lueie
00-As. fec.s of delm:-rgc5 J0 i5mg fcf) If 8t{ COltlt[j !ts I)(ReCrA. d,gr.rls and cmflll}y,:; trnRl LII
car;tLtsc[�rt:J,bCurl:r,�r�,l ar rcrn�eftatwn t,; ft<Lanat A permit crtnoot trr cuncCl er1 if �r'ar� (ros bcert
} 'tr" �tl L Irl tt 'frrin IUr ally rea.rin u'EtlClt t1t }' arik a; ;a rc�ttl[ ur this
C'harL. {rf
Performed.
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SigrLrrureerNei tnrY —��
t)iry
+a• •ryk Notary Fupl�,c Slate or Flor,pa
Hannah E Moore
? - My Co nmss,on HH 017098
�y LH h E+o fes 07:01f2024
For the project located at _
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, LLC
(Company Name..'lndividuai Name)
the _ Electrical Sub -contractor for Adams Homes of Northwest Florida, INC
(Typo of Trade) (Primary Contractor)
(Project Street Address or Property Tax 1D P)--"�—
have agreed to be
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.
COVTRACTORSIGNATI RE(Qurlifiert
W Bryan Adams
PRItiTNAME--
29179
COCNTI' CERTIFKATIOA
State of Florida, Count% or St Lucie
The foregoing insiramenl n as signed before me IN, l day of
•21111;b) W. Bryan Adams
who is personally known Y. or has produced a
es idnIiricalion.
STAMP
Pr`7filFame of!\'Oitiq Puhlir— `111111t111MItRf���'
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Rcvtsed 1?.16..2016 = o 1061T7
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St &CONTRACTOR sJdjvATURS (Qua6Fer)
Timothy L Ehman
PRI\T NA%ft:
_ 31748 _
COUNTI' CERTIFICATIOY N(1f8ER �-- "'
Stare or Florida, Cpuatvof ST LUCIE
The foregoing instrument eas signed before me this �_ do of
.I:Sfir•zvy Timothy/ L Ehman
Who is personals known X or has produced a
as idrn1liica Ion.
CTANIP
Signslurt ortNotary P bile — —
40
Pelll �eme of \otary Public
=oraIlk
Notary Public Slate of Florida
Laura Townsend
A4y Commission
�i' '�' HH 175435
Y?or^o Exp.911312025
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