HomeMy WebLinkAboutSubcontractor agreementPERMIT # ISSUE DATE
C4U NTY
F L O R I D R
DOUGLAS DANKNER
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the ELECTRICIAN
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for RAYMOND MEAD
(Primary Contractor)
1003 ENDERS RD. FORT PIERCE, FL 34982
(Project Street Address or Property Tax ID #)
have agreed to be
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.
/_Ao�
CONTRACTOR SIGNATURE (Qualifier)
RAYMOND MEAD
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of V4L-'A 664C A
The foregoing instrument was signed before me this' 3 day of
Vp by RAYMOND MEAD
who is personally known �or has produced a
;ig5naof
n.
STAMP
otary Public
SoyLfr. nms'or-j
Print Name of Notary Public
SITYLA CORSON
pV PU///=4--e;State of Florida Notary Public•= Commission # GG 227512- Commission ExpiresRevised 11/16/2016 %�foF, •' June 12, 2022
My
SUB -CON ACTOR SIGNATURE (Qualifier)
DOUGLAS DANKNER
PRINT NAME
IECA 3 001300
COUNTY CERTIFICATION NUMBER
State of Florida, County of i%uDd�e AC."
The foregoing instrument was signed before me thls23 day of
� k ,2o�by DOUGLAS DANKNER
who is personally known): or has produced a
as Identification.
STAMP
S re of Notary Public
Print Naro of Notary Public
E
ITYLA CORSONof Florida -Notary Pub ismission # GG 227512Commission ExpiresJune 12, 2022