HomeMy WebLinkAboutSub-Contractor Agreementthe
PERMIT #
of Trade)
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIV) D
BUILDING PERMIT MAR 1 7 1U1U
SUB -CONTRACTOR AGREEMENT
Permitting Department
St. I.0a 9@bHty
V N (-/" have agreed to be
Il NarnalD
vcz) fe5 Sub -contractor for t V f'j L A)
(Prima-ary,Cont<aotor)
(Project Street Address or Property Tax W #)
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.
•a Gno�
COUNTY CERTIFICATION NUMBER
State of Florida, County of-41
The foregoing instrument was signed before me
this _a day of
�i .20�by Rpqo�)
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary P b'c
aUoA
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5 l +A Q--
The foregoing instrument was signed before me this day of
,20!, by Rn RU llta�
who is personally known _or has produced a
as identification.
Signature ot'A Z �l otary a lic
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
e
e Building & Code Compliance Division
• BUILDING PERMIT:: :. t, RECEIVED
SUB-CONTRAGTORAGREEMIENTii, DEC 2 3 2019
ST. Lucie County, Permitting
Don Green Electric LLC have agreed to be
(Company Name/Individual Name) Q
the Electrical Sub -contractor for a9�k W i� o,1.yD/t%
(Type of Trade) (Primliry Contractor) C G' G C Q srl 87
For the project located at 161 SE Serenata Ct.Port St Lucie, FL 34983 3419-540-0131-000-1
(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.
COUNTY CERTIFICATION JUMBER
State of Florida, County of,
The foregoing instrument was signed before me thi ,day of
.200 r
who tr personally known _or has prodoted s
-Asideatification.
Ely
ntatlofNotaryPobaer: •n,-, "•
KAREN S. NIELSEN
r'=State of Florida Wotgry Public
Print Name of Notary Pahl i Commission # GG 2o74b4
My Cormission Expires
•anin•` June 12, 2b22'
l � Z Vf w .
SUB -CONTRACTOR SIGNATURE (Qualifier) —
Donald B Green
PRINT NAME
EC13007447
COUNTY CERTIFICATION NUMBER
State of Florida, County of MARTIN
The foregoing instrument was signed beforeme this 110 dayof
December 20Aby DONALD B GREEN
who i9 personally koown,�or has rodared a
! Ap1,
STAMP
Sitioatute'bf Notary Publi
Joy Christine Copeland
Print Name of Notary Public
rp!
JUT t TIM
Revised 11/16rz016 - Commission #FF94W
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