HomeMy WebLinkAboutSub-agreement , electricalPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
3 Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
A&M ELECTRIC CONTRACTOR LLC/JOHN W. MATTHEWS, JR.
(Company Name/Individual Name)
the ELECTRIC
(Type of Trade)
have agreed to be
Sub -contractor for RAYMOND SCOTT POLLITT
(Primary Contractor)
For the project located at 8580 US HWY 1 PORT SAINT LUCIE, FL 34592
(Project Street Address or Property Tax 1D #)
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 SIG . ;RE (Qualifier)
RAYMOND SCOTT POLLITT
PRINT NAME
CBC056832
COUNTY CERTIFICATION NUMBER
State of Florida, County of USl Qc
The foregoing instrument was si ned before me this l day of
20 -ib by O
who is personally known! ar has produced a
as identifi tion.
-- STAMP
ignature of N tary �Zic
Print Name of Notary Public
SU NTRACTOR SIGNATURE (Qu ger)
JOHN W. MATTHEWS, JR.
PRINT NAME
ECO002815
E70UNTY CERTIFICATION NUMBER
State of Florida, County of A i 11`1_
The foregoing instrument was signed before me this 1 _L,,,p_ day of 1
a� , 211_? by J/
who is personally knot rl� or has produced a
Print Name of Notary Public
DEBRA J. BASS
:.; * MY COMMISSION # GG 949898
'7 t"� BondadEXRIRES; Apri! 6, 2024
ru NOW Public Uadenarlters
STAMP
DEBRAJ, BASS
FAY COMMISSION # GG 849898
'
T '.,
*g.
v
EXPIRES; M
+4p 6, 2024
Revised 11/16/2016
` `'` Bonded
Trim Notiry PubHe Unde milers
SU NTRACTOR SIGNATURE (Qu ger)
JOHN W. MATTHEWS, JR.
PRINT NAME
ECO002815
E70UNTY CERTIFICATION NUMBER
State of Florida, County of A i 11`1_
The foregoing instrument was signed before me this 1 _L,,,p_ day of 1
a� , 211_? by J/
who is personally knot rl� or has produced a
Print Name of Notary Public
DEBRA J. BASS
:.; * MY COMMISSION # GG 949898
'7 t"� BondadEXRIRES; Apri! 6, 2024
ru NOW Public Uadenarlters
STAMP