HomeMy WebLinkAboutElectrical sub0I/08/2620 15;59 15618339391 GODFREY ELECTRIC PAGE 81/01
PERMIT # ' I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERNIT
SUB -CONTRACTOR AGREEMIi\T
4 y-
�Ir— 'r (_ —J; ` _ have agreed to be
(Company Nam ttdividuai Name)
the Sub -contractor for __ a ,.� �U •, 5 �rw L� r J^
(Type of Trade) (Primary Contractor)
For the project located at A)179 i t
(Project Street Address ar Property Tax Mit) -
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.
CONUACTOR SIGNATURE (Quallfler)
4.1 to,, , r7 l✓ or(� �tq rtT—
PRt,Yr ,N,L _
COUNW ClEXTIFICATION 14EMBER
State of Florida. County of
nN RACT4 L1 ualf erj
PRfVT NA;I E
V . ti0JCxz>a
COUNTY CERTIRCATION NMBER
Stole of Florida, County of ?A1W_&Ci _
The forevInp htorumone wn +loond befloi ata thio a _q* dq of The faroplop iumutnent wa, slitned Wort me tblr J'� day of
�1SL��J2@� hr• G?n-ta�.n G•crnl;n�4� �{1,zn �'Qby�,,� +��=
who Is penorratly knowts Tor has produced o whn h perianally known ar hue prodneed a
at kleretNi"dow. at identification.
p�A ILLY M pISTL
hvtery DuSik • SIatP o1 STAd1P
Slpnatare of afar What :• ,'Ilk
tommrstionrGG22, r of Notary Public ,star UMARAOkIDLW
�n n Mr Comm. Eapim jep : C. " M01
j'%}�/ f` iln (�j r s landed fhror fh Kinonal hJRtr� s Comrf"Im l'GO166267
'ring Norm ofN ila Public amtof Ttintoryrubik l ipl CS Aar 7, 14=
Revised 1111 W2016