HomeMy WebLinkAboutchange of contractor (2)COUNTY
F L Q R I D A _•
PLANNING & DEVELOPINTENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578
- � - "i` ••n �.Rtvl�L' LLATIOh OF PERMT•
PLEAS,f ,ti[:LCC"I_C) ! Oi T`1i 1 ULI. IA t!YC;:
_CHANGE OF CONTRACTOR - (")'Inge Of Conrr�actnr is to be sisancdi anc! notarizt:[I b •the ,
and the new contr'aclol W-record For the current permit- A new' permit application must also he corn
contractor' irtformatinn and si4naturc- A neu Notice- of fbmntencentent rturtit be filed in tltc new ttt} owner.
For job ~'aloes greater than $2,5(1D {S7:SU{1 if ]cc -Contractor's
with r,cw
coniriiencing any work, Thr.
erC is a $50,00 fee for the Clr:tt ge otge-oerCon[ •A� yarded copy r nantc
Ny must be submitted pt7or to
x (17ANIGl; 01 SUBCON `l'RAC' OIJ -� Subcontractor chadnge.s are to be cont 1[ ted by the Lf
o new subcontractor' ntnst till out a Subcontractor' A�grvenicnl 1•'or•rn There is a S50•00 Fee for the Chan
Contractor. P ,eneral contractor,
,e of 5tdh-
CANC'ELL.-k"! IOn pp Cancellation f•h[• cancelfa[i0n of tr pert is acceptable only it no %turl: has been done..
ncel [a of hermit r: to Uc sl�rlPent
ill ;rnd rt[,t rrt�ed be hn[h the owner and RtraliFer [,Frecord. 'There is no
cancellatiCancellationof the Permit.
fee For
Date: _ _
��— -- Permit Number: O/va- 6.3y
Site Acidiress: -� - — -
Origir,:11 GC, stlbc dam.'„-__,. _. - State License rL
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--- „r Ina:rt,Itrr-y :Illd 1101d ltarnlee�S St Loch C'oultty, its o11i[crs, age,,
ts and cmpl,)y frnrn ill
cast~, FCC1 [,I' (iFl17Li`�ej i,rljlllc t1a{IL Nfl} r1r1Lj,71i Clr1f1,1's Crractir,n ror any rcatit,u whicFl n,a), ari,e as a result Of this clr,ln ; of
c�7rttlact�l'stlbcanrl rc-or [Fr c:rrlccllatwn or Ivrinir A permit ctlrll,ot t,c can�SfJerl if %Tort; has been PCrformed.
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Signwlurcurlotury R � re
=0;..01,202,
State of Flondaoore,an MM O, �D9S
1r2024
PERMIT # ISSUE DATE
L-4-0-
; COUNTY
:1'1r. L o R, 1 n n
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Ehman Electrical Contractor, LI_C
(Company Name -'Individual Name)
the Electrical
(Type of Trada)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
_ Sub -contractor For Adams Homes of Northwest Florida, INC
(Primary Contractor)
For the project located at
(Project Street Address or Property TAW 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.
CONTRACTOR SIGNAT( RE IQualifierl
W Bryan Adams
PRINT IYAME
29'179
COi"NT1' CERTIFICATI011 i UMREA
State of Florida, County of St Lucie
The foregoing instrument is assigned before me ibis / y day of
F,mn, 2a1jb) W. Bryan Adams
Wile is personnlly known 1l or has produced a
STAMP
St 6-CONYRACrOR SIGNATURE (Qualifier]
Timothy L Ehman
PRI\TNASIE
_ 31748__
COI+\T1"CERTIFICaT10Ni•l'a18ER '-
Sratr or Florida, CotisN of ST LUCIE }
The foregoing instrument was signed before me Ibis 1 dAy of
�c ,2by. Timothy LEhman who is personalh known X or has produced a
as idenilflcaiion.
Slgnalurtor\oiaryF blie $TAW
Print Namur of hotary, Public
o•o Notary Public State of Florida
? Laura Townsend
My commission
%^ MN 175436
Exp. S11312025