HomeMy WebLinkAboutElectrical Sub-Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
-1 J 1= Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
v S have agreed to be
(Company Name/Individual Name)
the L—I -ec_ ✓t C l'4 -1 Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at to Y)
(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-contract tice.
f
V
C ;CTZ
R S NATURE(Qualifier) SUB- NTRACTO SIGNATURE(Qualifier)
C"-
PRE14 NAME PRINT NAME
EL 76)
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of (Wr4'--CtCK State of Florida,County of
The foregoing instrument was signed before me this S day of The foregoing instrument was signed before me this L 1�,_day of
SP'2fi 2PILi,by ACLU n, S rv�^'T`h 20,2_6 by ";n`t�v� r c� u)
who is personally known_or has produced a h,-KvL who is personally known or has produced a r
as identification. as identifliation.
CJ!p(J STAMP STAMP
Signature of Notary Public Si a e of Nota u lic
(
Print Name of Notary Public Print Name of Notary Public
. iy Pudic State of Florida r.
Robert Blauvelt ary Notary Public State of Florida
Lisa Bonura
i M Commission GG032768 My Commission GG 223725
y Expires 05/31/2022
Revised 11/16/2016 FxpireS 02/22/2020