HomeMy WebLinkAboutSubcontractor agreement, electricalPERMIT # J W 106101q
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
MR
Building & Code Compliance Division
BCLLDI:NG PERMIT
SUB -CONTRACTOR AGREEVIE,NT
/)t : . have agreed to be
(Company Nalnc'Individual Name)
the ,tL7C7A0A-L Sub -contractor for W I LLI&O J -
(Type of Trade) (Primary Contractor)
KIM:7
For the project located at �yJi/I
(Project Street Address or Property Tax ID 4)
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.
57
It
— CONTRACTOR SIGNATURE (Qualifier)
William Layne
PRINT NAME
Y Owner/Builder
COUNTY CERTIFICATION NUMBER
State of Florida, Count of ST UleV E l���//
Thjee foregoing instrument was signed before me this%a dray/ of
2f�by /Yf �„"' 46YAJ6-
w ho
!
who is personally known
X—o^r has produced a
as identircatitos / 1
sTANIP
Signature of Notary P he
(M LA I Si�d��
Print Name of Notary Public
=Simone
of Florida
,P � G 957803
A
Re%ised I I I
SUB -CONTRACTOR SIGNATURE (Qualifier)
WAY/yE -1m P02111r"1
PRINT NAME
/,5-/7 �
COUNTY C'ERTIF'ICATION N
State of Florida, Counts' of _ 4:ad/6
'I he foregoing instrument was signed before me thi.i `� day of p�
Ing 20Xbv _% J /k, ZlMl 147XNJ
who is personally known X—or has produced a
as idea ' tcation. 4
Sinature of Notary I' 1
Print Name of Notary Public
Notary Public State of Florida
4`Kimla J. Simone
y My Commission GG 957803
N� Expires 0511812024
S'rANI P