HomeMy WebLinkAboutchange of contractorPLANNING & DEVELOPMENT SERVICF S
BUILDING & ZONING DIVISION
• 2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
0! CANCELLATION O
f LEASi: SC:LECT ()tLL () 7•t = l ULI. lti'i!Y{i:
' CHANGE OF (,ON -TRACTOR — C'h";n9c of Contlactr�r is to be .signcii an(i norarizrc! by theProperty
and the new eQntrat•Ipt' oi'rct:ord for the
c[u'renf permit. A nek pet-111" aizplication must also be ccmtplete(wi ow)r ti%
t'or job
v information and sidniturC. A n{tir Notice of C'ominencentent trust be filed in t11C new contractor's name
for fob [aloes arealer than $2,5UU {S7.SUU if A,'(' Ch�Ingz-out), .� recorded cnpti must be sonr contractor's
comtltencing att}. work. There is a $50.00 fee for the Change nfC:out+Rotor.
x pnnr to
C 11ANGE 01 SUBCON'TRACTOR -. Subcontractor Chaf1ge4 are to i)e colll leled h}' the
The new sttbe(lntractor mutt till 0111 a S'UbCO(Itractor A�,roemcnt Form. There is a 550.00 rre for the Change of
Contractor.
P ,enteral t:ontr�tclor
SuU-
� CANCE1rl,,ATION 01; 1q-1jr, 717, _ 1 he cancellanon of a I), rn)rt Is aecc.ptable only if no ��orl€ has hrcn dctnc
canoei anon of hermit is t, to Ile �i rued and nlran�ed by boih rile ownei at)d (luallfier of record. There is no fee f
cancellation offiic permit. '
or
Date:
Permit i�unlber:
�_...
Site Address: --
State. Licen:
OrIginal Ci(.., Subconuac.lor oi' �l�~ nor 1.,trlltfcr (�5[,C` l..iccns,
nir►rr (;C. suhranti:tcl()r'Sl<)tc l-accn,e �'{'i�)7SL(• l.lccn>rC
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keas[rn i'ur C'an,cllarron
rnrFenu)try ;ttrd hole[ 111milC,SS St Lucie County, ins of af;crrts rtnd cmpl,)yrt s frr*rrl all
)r my reay
GO$I5, fee,'. or (itule<�gr�; arising,
Itprll any' and all i Ir�im, clCut rirlr, lir)n, tithrCh n,rt} atiw as ;I result otthis rlringr ui
c�,ntracil,r7subcvuri��rar ur cancellaltott rl: Ixrmtl Aprrmif cttnnrlt f><r cancel ed if.rork has born performed.
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PERMIT # I 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, I_LC have agreed to be
(Company Name/Individual Name) — Y -""_--
the Electrical _ Sub -contractor for Adams Homes of Northwesl Florida, INC
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID
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.
CONTR CTl OR 5IGNATI rtE (6�idiilerl `
W Bryan Adams
29179
COUNTY CERTIFI(ATIor NL J18ER ''
State of Florida, Counll.or St Lucie
The foregoing instrument was signed before me this 1) dap of
r4o.q'LgLoy .20 2�t') W. Bryan Adams
who is personally known Y. or has produced a
26'���%lim{frt�
5t'R•CONTRACTOR SIG/NATURE (Qualifier)
Timothy L Ehman
PRINT NAME
_ 31748 _
COt NTl CERTIFICATION ri.JIBBR
Slate ofFir.rida Countvof ST LUCIE
The foregoing instrument was signed before me this. pI _slab of
, 20.ZJrby _Timothy L Ehman
who is persnnalb known Jy— or has produced a
as id liRral;on. as idettl[lice l�n.
Si no afN STA, 11P iSTAMP
P I flame of N r) Public +\1�5111iMFfRjf �SmearNolarypublicc,NRASr44e /* Pr
si
* O�.rtin•: S =osvft,� Notary Public State or Florida
Laura Townsend
Revised It 16,2016 z
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ied O _ Exp.9113/2025
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