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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES J = " Building & Code Compliance Division 0 ' BUILDING PERMIT RECEIVED SUB -CONTRACTOR AGREEMEA'T DEC 0 3 2019 ST. Lucie County, Permitting Ed's Electric Inc have agreed to be (Company Name/Individual Name) Horizon POOIS the Electrical Sub contractor for (Primary Contractor) (Type of Trade) 9207 Champions Way ID #3334-501-0086-000-9 For the project located at lPmiect Strut 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. -AXp2eK- CONTRACTOR SIGNATURE (�Qu�al"ifi�er) PRINT NAME �q3$z COUNTY CERTIFICATION�N''UMIBERn State of Florida, County of�Vµ-i� The olegaing Instrument was signed before me this Aday or l/�1JC+ Z _GI by lln//ii/l Q who is personally known or has produced a as identification - Signature of , Mary Public ,, Josaldta A MOPOM Print Namc of Notary Public NOTARY PUBLIC STATE OF FLORIDA Corn,t#GG032Et$9 'IW, lye' Expires alma Revised 11/162016 Edward June EC0001569 COUNTY CERTIFICATION NUMBER Slate of Florida, County of St Lucie The foregoing instrument was signed before me this O day of eQyIger, 20ly by Edward June who is personally known Zor has produced a M Garcia PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMENT DEC 0 3 2019 (Company Na e/Individual Name) the Sub -contractor for (Type of Trade) For the project located at 9ad7 G14m�PWS ST. Lucie County, Permitting have agreed to be 1 021ZOA PD-D 1 S TW C. q(,Primary Contractor) 47 , P S, , Street Address or Property Tax M #) 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. AIZ1,61 pk4�' ONTRAC O SIGNATURE (Qualifier) W-ff L� M QA-gKG PRINT NAME X3�Z_ pp�!�pprrfM----77pB����//��// // COUNTY CERTIFICATION U R,, ��'' ,,aa COUNTY CERTIFICATIOAI�JhIQER State of Florida, County of kt& t� State of Florida, County o !,!,�t��+,,���� ll//�i((,�//,��L l/LY The foregoin instrument was signed(ibef�rree me this day of The cforegoing instrument was sign d beffo�re�e this d� o/j/, �� Q 201 1, by FW�C 1. f 2P ! /� . 20� b '�-�` _ me �sw who is Personally (mown or Gas produced a — as identification, as identification. I STAMP JOBat1QPdAtfgtrlteia STAMP Signature of V I,iNOTARY PUBLIC _ STATE FLt)itlbA CanC#GG0325% Print Name o ~u feS Josarx1 a A. ina� NOTARY PUBLIC Signature o , r,OG 9 _ mUMDA Expires 3/8/2(ft Print Name of Notary Public Revised 11/16/2016 1d),, Ida� S-C�O�NTRRAAC ,O SIGNATURE ((/Quu�alliifier) k)A:D& /rI vyl/�� PRINT NAME 0)38Z who Is personafiy known _or has produced e