HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Go Local Electric
(Company Name/Individual Name) have agreed to be
the Elearic ai repair Sub -contractor for Stella hunter owner
(Type of Trade)
(PnmaCo Contractor)
For the project located at 354 Johnston Street Ft 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 -contractor notice.
CONTRACTOR SIGNATURE (Quabfier)
PRfry t rvwhf>.,
COL n I Y CER---R ���pN U R
State of Florida, County ofy!:-�N X
TheTforegoinginstramentwassigaed before me this �a dayof
JL_ t 20-a9k
who is personally known 101"ar has produced a
as identification.
SUBC TRACTOR SIGNATURE (Qualifier)
SAMAS Mu rLyz-Ay
PRINT NAME
3 009 2- - 1Z13C i 5 ;)
COUNTY CERTIFICATION NUMBER
State of Florida, County of Mi. eiw
The foregoing isstrament was signed before me this I ZZ day of
%Tome .20Z by3ilMe;S Mvf w4r
who is personally know. l< or has produced a
as identification.
S12nature of Notary Pubbc STAMP STAMP
jlrgnamre of Notary Public
Print Name of Noary Pubhe �n'" •, "" �2 J
Flint Name of Notary Public _
Notary Public Stale o1 Fbrk%
a Mato lo fielders
Revised 11/162016 MY Comminbn O6 2678n
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