HomeMy WebLinkAboutElectrical Subcontractor Agreement 11.03.20PERMIT # 2009-0270 ISSUE DATE 10/5/2020
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Charlie Proulx
have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Charlie Proulx (homeowner builder)
(Type of Trade)
For the project located at 10009 S Indian River Dr
(Primary Contractor)
(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.
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AC OR IGNATUURE (Qualifier)
C�/arlle- ((7Sy
PRINT NAME
COUNTY CERTIFICATION NUMBER
r
State of Florida, County of 1 L f
The foregoing instrument was signed before me this � day of
J, 20by CjrgJ4. T N;&AX.
who is personally known _Zor has produced a
as identification.
of Nota(ry Public
of Notary Public
Revised 11/16/2016
MY COMMISSION # GG 236314
EXPIRES: November 8, 2022
onded Thru Notary Public Underwriters
SUB -CONTRACTOR SIGNATURE (Qualifier)
f ._.VI6 r(I_ P,1x
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of &. e !—i�I
The foregoing instrument was signed
�,before
,mne this yW day of
20� by
QJ[a '
who is personally known ✓ or has produced a
as identification.
Notary Public ''I: J57UYWALSH
i; MY COMMISSION # GG 23631.
EXPIRES- November 8. 2022
Bonded Thru Notary Public Undem A
ame of Notahv Public