HomeMy WebLinkAboutSub AgreementPERMIT #
2006-0567
ISSUE DATE
Goldstar Electric, Inc.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Electrcal Sub -contractor for Hams Homes & General Contracting
(Type of Trade) (Primary Contractor)
For the project located at 5024 Watersong Way Fort Pierce, FI. 34949
(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.
q!eLcoC. 14arm
CONTRAC1W SI TURE (QoaBfier)
Gregory C. Harris
PRINT NAME
CGC1508259
COUNTY CERTIFICATION
�NLUMBER
State of Florida, County of kX19,
The foregoing instrument was signed before me this-7-7 day of
zo,)Dy H WffD
who Is personaDy (mown for has produced a
as ideutitkitio
STAMP
Signature of Notary Public
'�V&Sxj
Pr nt Name of Notary'Public
a coLLEEN KENNA
Notary PuMlo, Stab of Florida
CommhaloN GG 253717
My comm. expires Sept.14, 2022
Revised I1/1
A4 /0
6i$-CO CTOR SIGNATURE (Qualifier)
John Cavnar
PRINT NAME
23575
COUNTY CERTIFICATION NUMB,,EEyR
State of Florida, County of L`•C1Q_
The foregoing instrument was signed ore me thisR
day of
zo h rJ,/AP i'
who Is personally Imown or has produced a
as Identification.
STAMP
Signature of Notary Public
Ne �Q
Print Name of Notar Zub
COLLEEN KENNA
AAN Notary P01c, State of Florida
Comm135ion0 GG 253717
My com. expires Sept.14, 2022