HomeMy WebLinkAboutchange of contractorPLANNING & .DEVELOPMENT SERVICES
• BUILDING & ZONfN(; DIVISIOti
2300 VIRGINIA AVE
FOR•I' NERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE o1' CONTRAC7'oR, SUI3COI�TRACTUk [)R CANCELL.�TiUN
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—CHANGE OF C-OINTRACTOR -- C-hange of Conu;tcu�r is to be signcci ;ind nClfar'
Lind the nee, eontr•aelor al'recorr) for file rurrertf per'ntit• A new ize(I h)' the property corn job
%' rrtfor r aun anfl signature. A ne►� Notice. of C'o,r,mencement niuu be tiled in file new rot tetc will wrier
t,ernli[ al,Ptieation m(tst also be co!„pletccl wrth ni w
for fob �alttes greater than $2,500 t57,500 if A,C' Change-otrt}. A recorded ll
Cptlltllcnclnn S name
any w� rk, T1,ere is a $50,00 fee fnr the ('binge- of C'outractnr• p] muit be submitted ptis�r rp
x CHANGE OF Sl1BCONTRAC-1-011-- gubcontracr()r change~ fire to be co,tiPleled h�- rile rgenc i
The ne►v subcontractor must till out a Subcontractor A�, t!cmcnt Form. There is a $50.00 fee for the Change Contractor. � td Contra(-tpr.
of Sub-
—CANCULATION OF I'li1jj\117 — 'f Ire cHncetfation ofa perairt Is acce-ptable only it nn work nil~ ht'1•11 (Eon
C.
('artceflalion of liermir is Icy be ..Iknc,! :Intl noranzccl b% bath tile ncr a►rd qualifier nt record. Where is no
cancellation of the Pei mi[.
fee For
Date: _
Pet'mit Number:
Site Address:- - -
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,a1 subcontractor. or i,,tinet lunhlcr - :nsc
New" auh�.pnt1.,C[c�r Scilc 1. iccn,e�.t�J
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�rlrtracr�r'x(rb(:orttIacrur ur cafnceltailon Or hrr $r;crrte rind cmpltyyei'g f'r�,n1 alf
{ ' nit A permit cnnnor t>(t cancel ed if wort, l,as been lcxtlt ur'iltis c1Yarlgr of
_�.•� performed.
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Hannah E Moore
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PERMIT 0 1 ' ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, LLC have agreed to be
(Company Nameindividual Name) w_
the Electrical _ _ Sub -contractor For Adams Homes of Northwest Florida, INC
(Typee ot'Trade) (Primary Contractor)
For the project located at 4)
(Project Street Address or Property Tax ID N)
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.
76�.�G4'
CONTRACTOR S1G,NA71 RE tQualifJerj St n-CONTRACTOR SIGNATURE (Qualifier)
W Bryan Adams _ _ Timothy L Ehman
PRINT NAME PRI%T ��A%IE
29179 31748
COI'NT1' CERTIFICATIOA Nt ,FIBER` , COIi\ i 1' CERTIFICATi0�1 Nt 31BER - —'
State of Florida, Count} or St Lucie ST LUCIE
Stolz or Florida, county of
The forsgeipg instrument Sias signtd before me This day or The foregotag inrtrurnrat was signed Warr me this dal of
,�021� W. Bryan Adams 1',i. '/ .ion _ . Timath L Ehman _, b��.--_.__�' .
wbo is personally known � or hot produced a who is personaly known .- or has produced o
as id tificadam ISIUM',ellocr,tion
STAMP STAMP
5; .� o N r fie Slgnalilatary P bfir
P I Name af• r ty Public Hll0" u
\��5S�Jf//j��// Prinl Kame of Nolory Public �•
* , •`4� 2�,Tr,n : O
,►aTr�e Notary Public State of Fior;da
f Laura Townsend
Revised 11. 1620l6 + Z : c *#f I06 * _�
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