HomeMy WebLinkAboutElectrical SubM
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name Individual Name I
the n-rI ;'c a
ITypC of Trade)
For the project located at
BUIMING PER'111T
NCB-C'ONTWW fOR AGREEMENT
have agreed to be
Sub -contractor for �Az I(,Vfta %&, x.v S4go„ S
(PnmaryLc" actorl
(Prgjcet Street Addressor Property Fax [r) 'l PSL ( S �
it is understood that, if there is any change of status regarding out- panic ipation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of Change oi'Sub-contractor notice.
CONTR4C. JOG. A/7'UHEIQualtRert -
/ r _ Lam•
PRINT NAME -
3IZz'T
COUNTY CF.RTIFICATIO'% vU\IRF.H
Stale of Florida, Counts' of �-
Thr foregoing insu'um"nt %a, signed h"i"re. this A da% of
who is personull" known _or has pruduc"d a
N1'4 VI'
�LAJOSE
P,rr 3' Notary Public -State te of Florida
�i Commission d GG 215487
.,a ^ My Comm. Expires May 8,2022
through National Notary Assn.
Hcciscd i l Ih ?Uln
-CONTRAC ' 1GNA11:RE (QGllfirr)
Derrick Dukes
PRINT �A\IF.
31675
('UCNTI' CFH7IFICA71f/N \I!\1bF:N
State of Florida. County of Martin
The foregoing lostru nest nay 011md before me this 19 dos' of
October • ,g 20 h, Derrick Dukes
oho is Persnnalh konsut _or has produced a Drivers License
as idart in i 6t. - —
�' :our of Sot _ •uhik
Corene Edlund-Chen
Print yaw of Notary Public
t �odme Egiay.
Notary Public
state of Florida
Camp HHODS747
t Expires 7/23/2024
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