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COUNTY```,
1 L O F I R A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Ehman Electrical Contractor, LLC
(Company Nametlndividual Name)
the Electrical
(Type of Trade)
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 Z/ � -j- n G-t
(Project Street Address or Property Tax 1D #)
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.
G
CONTRACTOR SIGNAT( RE (Qualifierl SL R-CONTRACTOR SIGNATURE (Qualifier)
W Bryan Adams
PRI-NT NA --- - -
�(E
29179
COUNTl' CERTIFICATION Ni MISER
State of Florida, County of St Lucie
The foregoing instrument "assigned before me this Z,_ dayef
- 201-4 by W. Bryan Adams
who is personally known Y,__or has prodaeed a `
as ideltirtcati0n. a
STAMP
Pribt Name of,Nddr) Public
\���N C' ,RA S r,� e 641//
IV Y /
JOC �G H 2;,
Revised 11 16 2016 106171
fic Urals
iO�•P '•1'A°�ded tht� ���°�4'•�O�
zrN
11111111111110 \ \\\\
Timothy L Ehman
PRI\T NA\IE
31748
COUNTY CERTIFICATION MINIM
State of Florida, County of ST LUCIE
The foregoing instrument was signed before me this L ` day of
Timothy L Ehman
who is personally known )—(or has produced a
as identifica ion.
_ STA%IP
Signature of Notary P ititic ( p��
Print Name of Notary Public
y
oaY'Lo Notary Public State of Florida
r° Laura Townsend
c` My Commission
y a HH 175435
i �ort`O Exp.911312025
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