HomeMy WebLinkAboutsub agrm-electricPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
I Building & Code Compliance Division
i
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
&0 �, oc. A l EJC?C;`2i C, tV-1 TA)Ik -S M OAAAK have agreed to be
(Company Name/Individual Name) II
the FZ IF C 7 -ATC A L. Sub -contractor for fiTlAwtic- �c-C tSS i U i I If �
(Type of Trade) (Primary Contractor)
For the project located at � Q S, C)C.e4W DR PRif4ceSt �orse�o� qo6
(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.
C NT CTOR GNQNA URE (Qualifier)
PRINT NAME
COUN-TY CERTITICATIO I _t:711BER n
State of Florida, Connty of {J I/�
]le fo'°ing instrnmcut.. assigned fore me this day of
who is personally known _or has produced a
a5 illenllilCAli011- �`
STAMP
SignatureofNotary Public
A I �,, 6 /oq (J
Print Name of Notary Public
ALLAN BROOKS
cj Rr o� NOTARY PUMIC
Reri til t o STATE OF FLORIDA
a Comm* GG125173
"` 1Expires 8/11/2021
SUB -CONTRACTOR SIGNATURE (Qualifier)
S Pfoes My ryLA
PRINT NAME
COUNTY CERTIFICATION NU .VIBF R
State or Florida, County of M nrz f ;d
The foregoing instrument was signed befurr me this 7 day of
Uyi m2l1 by JA M$.S M u l`,-
who is Personally knownor has produced a
a�5�STANIP
Sig'naknre of !votary Public
M R n-1_ (:;FGf0,5R_5
Print Namc of Votary Public
Pubk Stow a l�ofipa
e—NN
My Caminlinm GO 2878&V
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