HomeMy WebLinkAboutThomas, James Electric sub contract formPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
M
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ELITE ELECTRIC AND AIR
(Company Name/Individual Name)
the ELECTRICAL
(Type of Trade)
have agreed to be
Sub -contractor for ELITE ELECTRIC AND AIR
For the project located at 8208 13TH HOLE DRIVE
(Primary Contractor)
(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.
CONTRAC SIGNATURE (Qualifier)
1-d 4-rJ PA�Nlt et
PRINT NAME
t�..c_ 13o u b o 3 do
COUNTY CERTIFICATION NUMBER
State of Florida, County of $ r L. v c
The foregoing instrument was signed before me this 30 day of
16'01 .2079 by
7U N-fJ r fir is it/I-Z
who is personally known k or has produced a
as identification. KONNI LENAE DEWiTT
" 0 l':'.i
\a` Noiary Public - State of Florida
r rh ;l k Commission # GG 166915
Expires Dec 10�+ 22021
Signatur otary Publi Bonded lhroug . alional Notatyit
Leo Jrrr� tau.J�
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public