HomeMy WebLinkAboutchange of contractor— PLANNING & .DEVELOPI«ENT SER%11C'ES
INW." BUILDING & ZONING DIVISION
W
2300 VIRGINIA AVE
FORT MERCE, FL 34982
(772) 462-1553 FAX 462-1578
CHANGE Or CONTRACTOR, SUBC0,17 RACTU1t UR CANCELLATItrlN r
UEAS!_ Si:LCC'7_U 1,4ci:
—CIiANGE OF CONTRACTOR - Change
and the new r:ua# Contractor Is to be signeii and rtI?tarized b
ntracfor o! tccorr! ti)r fhe current the prppertPropertyowner,
pernOf A ncu
c,urtcractor" i les gatiun and signature• ,1 aacu' lvpticc Of C_'omntcncement must be filed in the new cantractpr''a notate
perntil altPlicatioit must also be corttpleted with new
for lob s'alues greater than $2,500 (S7,500 if A,'C' Change -out). A recorded cap}- mu;f be submitted
Commencing any wor•I;. 7'here is a $50.00 fee for the C 'huge Or
x prior to
CHANGL 01" SUBCONTRAC FOR - Subcontractor changes are to be corn leted by the ,/
The new subcontractor mutt till Qu( a Subcortirartor Atli Ili nt l=orrn There is a S50.00 fee for the Charade
Contractor,
I' ,eneral roaatractar.
s of Sub_
_ation of
it 01' l'I F2tV111 - 1lac cztn: eifarrata of:t pertuit t5 acceptable only it no wurk h;Is hcen dune.
Cant ellafit�t� of pearnit is (0 be %I91led and IaoianTed b�: Loth the Dtartcr and gtraliFer nt record. '!'
cancellation 01•t1te permit.
lrcrc is no fee for
Date:Site Address:
Perrttif Number:
Original'� . ,1�=��..- � _ .... - S[aac LLccn;c �C.
C,(„ subcontractor or in4ncr 1.ntllllcr 13s(t.C'
f 14CIISC
-
Ne►v CiC.'.tlitcnrluyactctr — _ _- SL(. l.iccn>c t74
itzason fur C'.InCCIl3tigtl
)-hc lind2rciollrrl .a,,,.. L ._ -.-
arl
casts, fors 0rdxu,et3r ari5Mg f orn any Bird attt 11rItt1d�(Irfrrc![inntlCr aqY rc°5Ur1 NhLG� n 1)t in5�,a5 i reslrlt r�if11 �.lchrns Fr�rn atf
I irtllactw�subcurrrlartul ur C£IIICCUU11p,t n: f,ertn,t A permit rI►nnot !�c cancel er1 if work has been performed.
3 1y{l EI!
r1'ri'RE fn"UvLr�i:R Inr r,wn�er•bu,lderl •
SlClt.=,4t 11RE Ce V ' Cn�1 rk,1l"rQrt Vr ncr �f i�,
- PRIN7 N1_r- AIF ~ ! cfy-o}r1�
$sIt 61 f`tilnilu, idlnLyof 51 I_IIL`rf C'ouen AMA
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Tlie
:`CllLa,t• 11U Ina,ar: c• I ti.:,,,r�;�l_�..trdre+l hrt: r •h,{ tlu-
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t•r ,�; :. tn, (,rude ri A(� j �_ t5 [D
n hlrc of �'orary
Darr
yr ,
�7�uD+lc State or F,c.naa
Hannah E Moore
y" My COTrIldrwon HH 01 7 gt
'+pf rid Eapees 0/rOtr202a
Tarr of I[xina. f .^LI ty of tis, Lllr�c Cou:�ty
rt : t�ta �k7r1� "'trllr171 0 uxc • ;
t k:'rwi:d,•cd belt,re nr the,
.�d,ryni.F�MI-LrIZt*.E�}.�
T rrn� - -
' - �-•�—„�#h.� I: I,ennrhlly l,,wuv I..
I r %htp1ta, pr,JL," d, It).
S[arUlure of Notaq. �bare
tq itary Guarlc Stale of Florida
Hannah E Moore
My {:a,nmiSsIon HH 0,709E
",aft E■p•es 07r01r2024
PERMIT# ! I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, LI_C have agreed to be
(Company Name.,'Individ ua l Name)
the E:leclrical
__ Sub -contractor for Adams Homes of Northwest Florida, INC
(Type of h Trade) (Primary Contractor)
For the project located at _ --, � )6
(Project Street Addressor Property ax ID If)
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 SIGNAT( RE tQualifierl
W Bryan Adams
FRI\'T 11Ai41E
29179
COUNTY CERTIFICATION NI"AIBER '
Stale of Floreda, Count% of St Lucie
The foregoing instrument nas signrd before mr this day of
`<_htk" ,28 qb3 W. Bryan Adams
who is personally known )( or has produced a
asicintiric,lion. A
of Nr)
Revised 11 16-2016
UGC KC H 27 E4•
��: d dF1fr $06177 y
ii� lay ('61Uedart: ' ��
STATE dF ,,L%\\\'
STAMP
St R.CONTRACTOR SIGNATURE (Qualirer)
Timothy L Ehman
PRI\T iNAME
_ 31748
COLVT10ERilFICATfONI\(•�IdiR Y
Stale of FIG rida. Counlvor ST LUCIE
The foregoing instrument was Signed before me this day of
(EJ rk�r� ,�0 fib). Timothy L Ehman
who is prrsonalb known ,x or has produced a
as idea llrtce Ion.
STAMP
Signature of \otery P 'blic
Print name of Notary Public
04F1Notary Public Stale of Florida
r Laura Townsend
My Commission
HH 175435
Exp. 911312025