HomeMy WebLinkAboutSub Contractor for Electrical formPERMIT #
2a10- U395
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ELITE ELECTRIC AND AIR
(Company Name/individual Name)
the ELECTRICAL
(Type of Trade)
have agreed to be
Sub -contractor for ELITE ELECTRIC AND AIR
(Primary Contractor)
For the project located at 18 MEDITERRANEAN BLVD SOUTH, PORT ST LUCIE, FL 34952
(Project Street 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.
0
CONTRAr SIGNATURE (Qualifier)
JOHN PANKRAZ
PRINT NAME
EC13006036
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCIE
The foregoing instrument was signed before me this lF day of
0 C'(Uljh/L 20 LYby J64 tJ e+r✓rtlt A- 2--
who is personally known -X—or has produced a
as identification.
STAMP
Signs u Notary Public
y0r4rJ( L#11.wtti
Print Name of Notary Public
KONNI LENAE DEJd
Notary Public -State o" w commission # GG 1
My Comm. Expires DecBanded through National No
Revised 11/16/2016 -
SUB-CONTRACTO SIGNATURE (Qualifier)
JOHN PANKRAZ
PRINT NAME
EC 13006036
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCIE
The foregoing instrument was signed before me this I (P day of
0Cr06#'-'t ,20 ,by -VwN (4/,tr4R#L
who is personally known X or has produced a
as iiiddeenttificication.
I _ J STAMP
Signature -a 1Votar Public
IGu tJr/t t)� r r r
Print Name of Notary Public
KONNI LENAE DEW]FI-rida,
Notary Public -State of Commission # GG 16My Comm. Expires Dec 1Bonded through National Nota