HomeMy WebLinkAboutchange of contractorWWI
C4OUNTY �.
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PLANNING & DEVELOPMENT SERVICE S
BUILDING & ZONING I)WISION
2300 VIRGINIA AVE
FOR I' PIERCE, FL 34982
(772) 462-1553 FAX 462-15 78
OR C
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PLEA SI�,S[ LC('7. ct ! a- Tli
_C1i.4NCE OF (=0N TRACTOR —Change Or Contractor is in be 4igrtcc! a u! norarii
an(1 the net,,- rontraeGwl ul�recorrl for fhc i urrtnf
contractor informalitrn and Signature. ,� nest Notice of C.omnwencentcnr mlrtir be filed In thctnew tlt` property ow,re,.
perlttit. A neti permit n1,plicatioil Imtst also be Completed Ivith new
fur job w-aitleS greater than 52,500 1S7_4; if AK-' '
cnrtt,ut:ncict� any WO, k. There is a ss0.00 fee far the [Change n 11Q- t A� corded c(t contractor''c name
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Conew stlbcanh"actor nul;t till aut a Subconlrrtetor A;�rremc.nt Form Thcr'e is a �SW]O fee for the o
Contractor. ner,,� rontractnr"
Change of Sub -
!at ion of p l-117I0i\ U1 1'1 1t,1117 The exnrelfar',' tt of tt jz�rlt,it rs acceptable oniy 1l no work h;ts i,ccn c1
(Car:cellitit�n c�F p rnut 1$ to be S1911cd and nt)tar,led b% both the owner and qu liflcr ttf rec
cancellation of the pe+•mit,
n,d. There is no fee for
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{° 7fublrc State 0 Ciorloa
Hannah E Moore
. ti}Y Comm Uion HH 017096
�-C4 ERplres 01:012024
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to` •�k Notary s_'tuD4c Stare of Flpr da
Hannah F Moore
'3 p` MY C::n•n,5san HH 017099
11D F% Etpres07t012024
PERMIT 0 1 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, LLC have agreed to be
(Company Name4 nd ivid ua I 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 Tax ID J�}
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.
COVTRACTORSIGYATt'RE iQualirserl
W Bryan Adams
PRINT ItiAM£
29179
COUNTY CERTIFICAT16p, U,,IBER
State of Florida, County of St Lucie
The foregoing instrument ss as signed before me Itsls t day of
�e-bry y 20 ) W. Bryan Adams
who is personally known Y, or has predured a
STAMP
Revised I I.16-2016
SUB-CONTRACTORSIGNATtlRt (Qualifier}
Timothy L Ehrnan
PRINT NA%IE
31748
COI-\Ti CERT-Wii ATIoV l\1 HBER
Stair orRaride, County or ST LUCIE
The foregoing illsirumeni Has signed before me this.-. sla' of
r ,1.4 , 2oZ,bs. Timothy L Ehman -
who is prrsonalt known X or has produced a - —
as idtnlirice ton.
$TA%1P
Signature aT NolarvZlic
Prin�'IlmtafNola yr Public
ovx"� Notary P. bilC State of Florida
: Laura Townsend
YM c rri fission
?orn°� Exp. 9013/2025
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