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PLANNING & DEVELOENIENTSERNr(CES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
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�CFiANCE OF C`ON"F'RACTOR - Ct►ange of Con![:tctgr is to be sigrtCtE:0ncl no[arizcd b}� [tic property :Intl the ne4% "Ot"I'actol of rct
Ord to[ (he 1:u.r-renf pernlit A nea Per -mil al R )owner.
contractor informalion and signattn'c. A new Notice.. of C't)millencen mm M(m be filed in the new contractor'; elan
P I ptication must also bt CLN,,pletC(I "�-rt11 rt•cw
f'or job "I![es stealer than $2,500 W.4;00 if A/C
corauitencing an} walle
k. There is a $50.00 fee fnr the Change frC'nllt a corded Cctp}r InuM be stl4mitted prior to
X ['11,1NGla OF SUBCO!\TR; 01M - Sllbc011Lractor care to lye completed h%. fl,e re
The nett' subcontractor must tilt ot[t a SubCOWITIctor Al,rvement Form- 'F'hcre is a 550.00 fee for the Change Corttra�tor. ., nu;rt CotltrriC101",
hange of Sub-
_Cr11�C'F,t_1.,1"f10,\ p!' 7'Iit_��!!l - 1�itc• :.xn: Clrrt't�rl of rl ja�rr7lrt rs ;tc.cptable Only if ncl l,'4,rk I�;t; bc•cn rlcl
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d There is no fee For.
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N:,;ary NuGI c stern d Flo-da
Hannah E Moore
My r_ :: n'l SS,On HH a 17095
7a �{� E,p 'es 7 01r2024
PERMIT 0 1 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contactor, LLC have agreed to be
(Company Name. Individual Name) the Electrical Sub -contractor for Adams Homes of Northwest Florida, INC
(Type of Trade) YQ l� (Primary Contractor)
For the project located at 31 1 rhi—i trl C --
(Project Street Addressor Property Tax ID /I) _
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 Subcontractor notice.
CONTRACTOR SIGNATI RE (Quatifierl SCR -CONTRACTOR SIGNATURE (Qualirirr)
W Bryan Adams Timothy L Ehrnan
PRINT KA,tiIE — PRINT NAVE
29179 _ 31748 _
COUNTY CERTIFICATION N({',111gER` COI,\T1'CERTIFICATION NUMBER
State of Florida, Counly of St Lucie ST LUCIE
Sratr of Florida, county or
The foregoing inslrumenl tilassignrd berore mr thls day of The fore oio g g iusrrumeal -A as signed before me this L day of
ijp r zo W. Bryan Adams
ry—+#ruar(LI ,zo2,by Timothy L Ehma_n
who is personally known or has produced a _ who is personalh known x or has produced a
as id lJ kal(on. ss idrnl(iics Ion.
STA 1!P $i at o N r - u 11e CTANIP - Signature orNatary P 61ir --
i
P t Name of N r) public �NJtlltff li/fly Print Aame of Iota Pu' hl'C
Sp.PA STg1n
ti �G� pCH 27 4%". S
* ; ,rL. : ro.>' 'Lq� Noraty P:bllc State of Florida
��� Laura Townsend
Rev,sed I i Ifi 201fi My Cgmmi9Sion
a : c *W IZ1 7 404 0� HH 175035
Exp.911312025
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