HomeMy WebLinkAboutElectircal Sub Agreement. i
` PERMIT# ISSUE.DATE
I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
0
D �
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Patrick's Electric Company have agreed to be
(Company Name/Individual Name)
the Electrician Sub-contractor for Storm Smart Building Systems, Inc
(Type of Trade) (Primary Contractor)
For the project located at 1207 Driftwood Lane, Fort Pierce, FL 34982
(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-con actor notice.
Z11A -
CO T GNAT RE Ir fier) SUB-CO C RGNATURE alifier)
Brian Rist Patrick K Hosey
PRINT NAME PRINT NAME
CRC056857 EC13003435
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of c State of Florida,County of P c
The foregoing instrumentt was signed before me this 2. day of The foregoing instrument was sign before me this f 9day of
e-C_ ,A �h0'n 12486 ,201�,b !� a H6 Af
who is personally f7cor has produced a who is personally known or has produced a
as identifica'on. as identification.
STAMP STAMP
Signature o to Public_VSignature of Not ry ublic
itk"Ck S�Lrz,�A. Y, g P.-Y,
Print Name of Notary Public Print Name of Notary Public
Yesenia Sarzuela
NOTARY PUBLIC Irisne-11
Yesenia Sarzuela
o NOTARY PUBLIC
c STATE OF FLORIDASTATE OF FLORIDA
lea Comm#GG317472 Comm#GG317472
Revised 11/16/2016 NQ 19 Expires 3/28/2023Expires 3/28/2023