HomeMy WebLinkAboutelectrical sub agreement ISSUE DATE
PERMIT# .S(�_2b p� 0 tt�7
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUrLDING PERMIT
X SUB-CONTRACTOR AGREEMENT
001 ,e,e:�'v have agreed to be
(Co any Name/Individual Name)
the � ��r�a inti Sub-contractor for -�F'ef�J r✓1 RC2 �y
(Type of Trade) (Primary Contractor)
For the project located at '-7q &�,v 2 J2z `P r;a.- -611 - 0015--600M
(ProjectStreet Address or Property Tax ID#)
Itis understood that,if there is any change of status regarding our participation with the above mentioned
project,the Building and Codel Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contactor notice.
CO SIGNATURE(Q er) SUB-CONTRACTO SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 1'1 id Y�11 State of Florida,County of Z r-1: n `
e foregoing instrument was ' ed before me this``� (dray of The foregoing instrument was signed before me thus day ofI M i
W�1 20�,by, 01 f �V < 20-x( by , a k
i`
wh is personally lino or has produced a who is ovally{mown or has produced a
a i entH'ication. dentification.
4
u ��, �nya"'-' STAMP STAMP
vam
e��o11f Notary Public Sigoatn of No
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TyVIMo_U NANCY C.ENGLISH
Print Name of Notary Public *, 0ThGG 929009
Notary .P,,,�Ae Bonded ihTh Troy Fele h mmra s00.385d019
a
ires March 4,2024
Nota Public State of Flonda o.•'�Shannon E Pudimott
My Commission GG 981053
Expues 04/2312024
Revised 11/16/2016