HomeMy WebLinkAboutSub-contractor agreementi OU NT
L 0 R i D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Patricks Electric Company
(Company Name/Individual Name)
the Electrician
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Storm Smart Building Systems, Inc
(Primary Contractor)
For the project located at 3327-701-0035-000-9
(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 aCh e o Sub- ractor notice.
CONTR ORS NAT REualifier) SUB -CONTRA .TOR SIGNATURE (Qu I' icr)
Brian Rist Patrick K Hosey
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ")��i i ) _
Theforegoinginstrument was sig�n^^ed before me this (f) day of
Ii' si) 26Z" t'
by,�1i`1(.E.f i j.tz.
who is personally known 4,�f oy' has produced a
as identification.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this if! day of
if)r'I 20-2}4-1, by
who is personally knownl'v�`Eor Inas produced a
as identification.
\\tSTAMP \ 1 i
Signature of Notary �r icy Signature of Notary lific'�
f ` j
"l��ei`li
Pnnt Name of Notary Public Print Name of Notary Public
1aRY Yesenia SarzuelaYesenia Sarzueta
T s NOTARY PUBLIC vp'4'CEIsi
NOTARY PUBLIC
RCviscd 1l/1STATE. OF FLORIDA STATE OF FLORIDA
Comm# GG317472 Comm# GG317472
Expires 3/2812023 Expires 3128/2023
STAMP