HomeMy WebLinkAboutFlack Electrical Sub ContractorPERMIT" # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
4-ZAC'K have agreed to be
(Company Name/Individual Name)
the ELL C TiQ I CA L. Sub -contractor for f { Pex AVel-s ¢ t0e,, oL T
(Type of Trade) (Primary Contractor)
For the project located at 13 6 oq M fi6q an6 PA —• lopl f ,� 6061e
(Project Street Address or Property Tax ID #) ':3qCl
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.
-7 �4
f
CONTRACTOR SI . 'AT[1REy/Q.Q fier)
_Em 11 FI/�/-n1q 1?
PRINT \:AME
c! 4 1q!5 I6/&
COUN'T4' CERTIFICATION NUNIBEK
State of Florida, County of I067"1!'1
The foregoing instrument was signed before
me this � day f
2a. by
who is personat Vrrr has produced a
as identification.
,= G / 247 COY STAMP
Signator of Notary Public el
® .
Print Name of Notary Public
ft
Notary P=Of
;P`� Lori A My ComExpires
Revise
,, g Z) �• fiLIqCl(
PRINT N:AAIE
Ec --1364 96.
COUNTY CERTIFICATION NUMBER
State of Florida, County of_/2 //%
The foregoing instrument was signed before me this -Alf day of
20
i is personally kor has produced a
��
as identilication.
STAMP
Signature Notary Public
Z_ �Wr. /�.
Print Name of Notary Public
y
Notary Public Stats d Florida
Lori A Moxley
My Commission GG 260140
Expires 11126/2022
COUNTY
F
L
D R
I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
4-ZAC'K have agreed to be
(Company Name/Individual Name)
the ELL C TiQ I CA L. Sub -contractor for f { Pex AVel-s ¢ t0e,, oL T
(Type of Trade) (Primary Contractor)
For the project located at 13 6 oq M fi6q an6 PA —• lopl f ,� 6061e
(Project Street Address or Property Tax ID #) ':3qCl
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.
-7 �4
f
CONTRACTOR SI . 'AT[1REy/Q.Q fier)
_Em 11 FI/�/-n1q 1?
PRINT \:AME
c! 4 1q!5 I6/&
COUN'T4' CERTIFICATION NUNIBEK
State of Florida, County of I067"1!'1
The foregoing instrument was signed before
me this � day f
2a. by
who is personat Vrrr has produced a
as identification.
,= G / 247 COY STAMP
Signator of Notary Public el
® .
Print Name of Notary Public
ft
Notary P=Of
;P`� Lori A My ComExpires
Revise
,, g Z) �• fiLIqCl(
PRINT N:AAIE
Ec --1364 96.
COUNTY CERTIFICATION NUMBER
State of Florida, County of_/2 //%
The foregoing instrument was signed before me this -Alf day of
20
i is personally kor has produced a
��
as identilication.
STAMP
Signature Notary Public
Z_ �Wr. /�.
Print Name of Notary Public
y
Notary Public Stats d Florida
Lori A Moxley
My Commission GG 260140
Expires 11126/2022