HomeMy WebLinkAbout5800245_TMO L600_A2P0105A_SubAgreement_exea 5800245 TMO 1600 MP0105A
PERMIT #ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRAC TOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certificatior Number (If applicable): EC00001 87
Robert Koenekamp/ East Ocean Electric of Florida have agreed to be the
(Company Name/Individual Name)
Electrical Sub_contractor for Olin Wayne Companies, lnc
(Primary Contractor)
5441 St. Lucie Blvd. Fort Pierce, Florida 34996
Pompano Beach FL 33064
561-922-1244 email: SFLPermits@crowncastle.com
(Type ofTrade)
For the project located at
(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, I will immediately advise the Building and ZoningDepartment of St. Lucie County by filing a
Change of Sub-contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQTIIRED
Business Name:
Address:
City/StaIelZip:
Phone:
% lt , '
Robert Koenekamp 7t2t20
SIGNATURE PRINTNAME DATE
srATE oF FLoRTDA, couNTy or, Palm Beach
rrils 2 onn o. JulY 2020,_
wHo Is PERSONALLY KNowN \.4*'n,
AS IDENTIf,'ICATION.
3550 NW 8th Ave. #305
OT'NOTARY PUBLIC
SLCPDS: 0810612014
NOTARYPTJBLIC
(srAMP)