HomeMy WebLinkAboutchange of contractorPLANNING & DEVELOPMENT SERVIC 1,-S
• BUILDING & ZONING DIVISION
' 2300 VIRGINIA AVE
FORT PIERCL, PL 34982
(772) 462•-1553 FAX 462-1578
CHANGE OF C()NTRACI'OR. SUBCONT�CTUIt ()R C'ANCELL.�TIOI\ OF PE
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—CHANGE OF C'ONTR'OJ - Change of Contl-actor is to 11e Sighed crrld n��tariietf b t ,
anJ the new cUntrat•[iu I)I,rcco1(1 fur fhc current pernul..A iif:►i.
C0111facl.0r informat1irti and Signature..1 lice►- Notice. of C'r)rrrrticncenll;nt rt),iCCIV be (fled In the new c1` property owner.
�erniit atil?ficatiori rtiitst also be conipletecl wltfi nrtti
f"or lob +irlues greater than S2,50() �$?.yUU if �r`C' Chatigz ottt) q recorded cti
collutiencitig anp work. 7"here is a �50.00 let for the Chstnge nCCnntrslr[or. ontrated p name
p} mua be submitted prior to
x Cl1,tNGl; 01"' 5[1»CUlt7 RACT()lZ - %lbcoriLraciot change are to be cnnlPleted by the r�er ... .
o new subcontractor nni;r till aut a Subconlrri,tor A��r��nicnt l oral. 'F"hcre is a S50.00 fc
Contractor. iE+rll tutttriclor.
c for the Change of Sub-
('�1NC'FLi,��7'f0-r�' U17 1'11Z.�11T� 1-ltc•oxnceflari�n offslk�rttlit tS:1c«.ptablc only Il no i�orh has hccr
C^ricelli'don of pelriut 1, (o l.,e x1�r14N] and ilolnri?cd by bo!h the ottincr is i qualifier crony 11 Itord. m ork-c i
cancellation of the per-rriit. i rinn r
s no fee For
Da te:
— - Permit number: ! � - Uc%2
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Origiurrf f'i(',.s,rycolitr.iLlnr oru%4n�rl.;ilatcr _ _ Siatc Lie%mle.r�
r_c� 1_ i� c rice
Nc1ir CJC, stlhcOnU•►Clitf � St.itc i..ic�n,e�-��'�� ���
Licetl.e
Re.ascni 1'ur C,,llICcll,itiun-
1 fit uncicrsi=-ncd d.h�..
----: ••,�•�� rrr rnfl:ilinrr-y a,id f10ld 4imiI � — er'Sls, rocs urdn,liiot, ari,rr, • 1 4 C Luei� Cour1ty, its orfic'crs_ ar;e.r.Ls and Crltpl,)yeea frnrn I!
rrnrn isr,y .Mitt ;il: l.tinr� cr(ircrinn for atiy reason, cctiic.l; ilia) 8r15t - ;r rc, (1 of tfirs tIr•n1 e r,i
ttr,rtr_ictvi��r,bcbt,trscsur l,r ci,nt'rllatron orl .rrnrr A p�>rmit ciinuot ire cancct ed if 1
ork- !r1s been perforated.
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Tllit iirllJv ru ur•r , hcr�a:
w' �. �i1'1!1.,S�•!,•r,zre,-or,t:r lrr.,.-.
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tr,rrr of rYnrary
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.ri�J�'!aw y "?0�7'�Rt c 5tafe a
Hannah E Moore
- • My Comm swan HH r 7
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tir,rr'ofl=tdril;l i'turtjpr�r-t:i,.r.Ca,.�ky
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Lddy rrr #y
=HannahE
lG Starr of Fror,Oa
Mooresrpn HH 0, 709S1r1024
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+individ ual Name) the Electrical Sub -contractor for Adams Homes of Northwest Florida, INC
(Type of Trade) (Primary Contractor)
For the project located at '83o t( ocn-afr
(Project Street Address or Property Tax ID (1)
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 (Qualirieri
W Bryan Adams
FRINTP AhIE-
29179
COl'\T)' CERTiFICATiOA l%C.%IBER
State of Florida, Covnh• of St Lucie i
The foregoing instrument 1, as signrd before me this + day of
Fcba
20}? W, Bryan Adams
wha is personally known Y, or has produced a
as idrftiriution. a
SI,.%1IF
1
Q41. NKr) Public �1114111hffiT
Revised I I.16,2016 g : u MHy Ip61rj • * -
i 9 ,n gird yhN 0•• p �
be Undss• • Ow -A",
St A.COYTRACTOR SIGNATURE (Qualifier)
Timothy L Ehman
PRI\T NAME
_ 31748
COl ATY CERTIFICATION C,hi118ER _ --
Slate of Florida, County of ST LUCIE
The foregoing instrumenI was signed before me this alas of
n&kr4V�7 ,20il,by. Timothy L Ehman-
wha is personalh known or has produced a
as Idenlirirs Ion.
STAMP
Signature of Notary P blie`—
I
Print fame of \glary Public
7_,%Wy*� Public State of Florida
ra Townsend
H 175d3;Ion
.911312025
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