HomeMy WebLinkAboutlambert 207 marina dr ft pierce tankless water heater electrical sub affidavitPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ALL AMERICAN AIR & ELECTRIC
(Company Name/Individual Name)
the ELECTRIC
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for MEEKS PLUMBING
(Primary Contractor)
For the project located at 207 MARINA DRIVE, FORT PIERCE FL 34949
(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.
PRINT NAME
C.. L lz�-z-K
COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me this ay of
N�NI c Wl} tr 2k,�11 byX t�Q�
who is personally knovo&.or has produced a
SU -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
Z_: r ,—
r:�
COUNTY CERTIFICATION NUMBER
State of Florida, County of t _I a i ,
The foregoing instrument was signed
/before me this day of
20 , by �d d{ l !/i✓t rte / �t ie, -,
who is personally known',, or has produced a
as identification.
as identification.
STAMP
`'�
ignature t,y Pub
c 1
.Signature of Notary Public
Print Name
Priht Name of Notary Public
vav no
� N,
Notary Public State of Florida
Lmella M Thibault
GG 093573
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My Commission
Expires 0811012021
Rf L CAlNOUNblic • State of Floridasion
am
M GG 916233Revised
11/16.-2016
Natonal Oct 6,?023
Notary Assn.
STAMP