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HomeMy WebLinkAboutSubcontractor Agreement i i PERMIT# ISSUE DATE PLANNING.& DEVELOPMENT SERVICES Building& Code Compliance Division � s — BUILDING PERMIT. SUB-CONTRACTOR AGREEMENT .J U L Q 5 Z 01 9 5T. Lucie County, Permitting i Native Electric Services, LLC/James Phillips have agreed to be (Company Name/Individual Name). the Electrical Sub-contractor for -Carl Hughes (Type of Trade) (Primary Contractor) ©W t, For the project located at 4805 Myrtle Drive, Fort Pierce-3402-608-0134-000-7 (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. CONTRACTOR SI TURE(Qualifier) f�WN� /SCJB CONTRACTOR SIGNATURE(Qualifier) G Rtic.. {-tc� G J� ,;t 1(.. , ' PRINT NAME PRINT NAME COUNTY CERTIFI TI7ZC COUNTY CERTIFICATION NUMBERState of Florida,County oState of Florida,County ofrThe foregoing instrument was si before me this. _day'of T e f regoing instrument was signed before me this day of 2( ,by ,20 M by i�4-`a �, i .5 r t t� who.is personalty known�or bas produced a who' rsonaliy known or has produced a ; as identification as i en. cation. 11 AMp Cj STAMP Signature of Notary u uc Signatai�� Notary Public ,tPAYP;%, KAREN S. NIEISP blit '/► In State of Florida-Notary Public Print Name of Notary BW _- Commission#GG 207484 Print Name of No Public <c ; °� My Commission 2022Pires S4SEl.YN fRIMPONG �. N_otaryFlo( da Revised 11/16/2016 Commissron-GGt33742 04y Comm.Exo'+fe5 Aug 13,2021 t