HomeMy WebLinkAboutSubcontractor agreement, electricPERMIT # ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Le "*gig I
- -- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the
(Company Name/Individual Name)
C__�l -<c � :4 j Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at / v 7 d, S S • f-, c. e---4- n Q ;-, 4- 2, S
(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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CONTRACTOR SIGNATURE (Qualifier)
AW-a
19Rlob a►Va ,
,� 17 F3 cee /02 fiiyai
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
N16 ✓Lryt 6-t4- 20� by -�rjG✓Y� : {'�
who is personally known or has produced a FL 0
as identification.
( L STAMP
Signature of rotary Public 20� ,, ,Lair MAW LEE MAMS
* * My COMMISSION S GG 064648
"PfRES: March 6, 2021
Print Name bf Notary Public I Notary Services
Revised 11/16/2016
SUB -CO RACTOR SI NA (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 6 day of
Z ' 2042,� by O`Z-
who is personally known or has produced a�
as idea Iication.
STAMP
Signature of Notary Public
L i 5 c�_ 6E)Y,
Print Name of Notary Public
t rY:*tary Public State of Florida
My rP es 0 11 1112022 223725