HomeMy WebLinkAboutSubcontractor agreement, electricPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
( mpany Nar edrndividual Name) (�
the J;y 1V a A Sub -contractor for {t It) �(Jl Gtm ,
(Type of Trade) (Primary Contractor)
For the project located at
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.
.a5s3i \
COUNTY CERTIFICATION NUMBER
State of Florida, County of �U L
TOOh``e foregoing instrument was signed
Dbefore me thiday of
� N ,20�{.' \\/s U.W IN
who is personally known\ / or has produced a
as IdentlneatloR T�
STAMP
Signature of No7144,c
C rt P
Wont V b
Name of Notary Public
REEi
nta of Flmds
rVon
RevisedII/162016GGa0BM
02a
SUB -CONTRACTOR SIGNATURE (Qualifier)
�/rfd�cr4s t' %�JGf�Ko/D
PRINT NAME 1
Io5 _5(-1
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of St,
The foregoing instrument was signed before me this 21 day of
tY �, Z0JQby'i11(�11 M) k, lRA MM00i)
who is Personally known\Sp_or has produced a
.+at � Notary Public State of Florida
I Sabrina M "ton
a My Co nmiaalon GG BOOM
rws Expires 06271202O
STAMP
io