HomeMy WebLinkAboutCHANGE OF SUB-CONTRACTORCOUNTY
F L 0 R I D A—
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PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONI`NG DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
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-CHANGE O1' C ONTRACTOR - C'hange of Contractor IS to be signed and norariied b� the Property
and the Itcw contraetol of -record for the t:ul•tenl permit A neu
conrraotor information and sio permit tltplicution must also be co[7tpleted wit,,HIle%,
6natute. A neu Notice of C'umrnmst be 11fed in the new contractor's Dents
for Job t:tltles grealer than $2,500 t57 soo if ,A.:C' Change out} ,a recorded copy commencing Iny work. There is a SS0.00 fee for the Change of C'nrttrRctnr.
pti must be subruitted pri(�t to
x C HANGB OF' SUBCON] RACT()JJ - Subconccactor changes afc tq be cnm lcteci by the
Co Dery subcontractor mild till out a Subcunttactor A-1rcement Font- There is a 550.00 fcc for the Change Corttracrrjr.
n ' eneral cortrr,tctor.
,e of Sub-
(lionof l,l1A'l lsj U26 I'I RaYI)l - 1 he cxnceftart,�rl nf:I I)Cruut is accclttaf)le only tf no cork has hccn rfnnc
('anccllatiltn 4f perulit i. to be .I�rnc{l and noran�rd by Bath the owner as '- qualifier Of record. There is no
by
cancellation ol'the pel-mit.
fee for
Date: _ W��
Permit Number: p 4 S-
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c081s, ears ur d,tt,laarS eriSiq� 1 �tr,t ,tn} ,,ltrelf Claait1l51c ractirtnlfgS any rr3tinrC uhl ft n t}la c-ers, cmb; and
flrt�,fclta :s Frrmi all
.. C��ItI[:1fMIJt ti[IbCUIlrti,L'[(ll' or cattcellailon O {tcrinrl A prl•rni! eruulot t>r cuacet ed if rr'ort: has been performed,
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Stan lure of Noraw ���
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W, ^_��dubl,c Stare or F,«-.Oa
Hannah E Moore
4l , My CommIss,an HH fJ t -,.g..
ands Expires }7ro1r2024
4ta[;• of 1'1611iia, t'Out t} Or -%I
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lic State of Flontla
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PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINC PERMIT
SUB -CONTRACTOR AGREEMENT
Ehman Electrical Contractor, LLC
have agreed to be
(Company Namellnd ivid ua I Name) _�—
the Electrical Sub -contractor for Adams Homes of Northwest Florida, INC
(Type of Trade) T (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID 0) '
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 SICNATI RE (Qualirierr
W Bryan Adams
PR)\TNAME
29179
C'Ot NTV CERTIFICATION N['titB£R�
Stale or Florida, Counky of St Lucie
Thr foregoing iMlrumen!:,assigned before mt Mis cZ day of
� p .2I1�9kb1 W. Bryan Adams
who is personnlly known YLor has produced a
STAMP
I
[r 0
S[ R.CONTRACfOR SIGNATURE (Qualifier)
Timothy L Ehman
PRINT NAME
31748
CO [;VTI' CERTIF)CA7fOV h'[ ��tBER
State orFlonda, County of ST I_UCIE
The foregoing initrusnew was signed before me this C dal of
e. .20 Timothy L Ehman
Who is ptrsonall knes,n or has produced a
ns i_JCdentirira Ion.
Sigtlalure orNatery P 61ic STAMP
Print Name or Notary Publir _�
tom wort Nolary Public State of Florlda
Laura Townsend
My Commission
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