HomeMy WebLinkAboutSubcontractors AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
MOMENTUM SOLAR /
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Matthew Franz
have agreed to be
Sub -contractor for Cameron Christensen
(Primary Contractor)
For the project located at 8509 Cobblestone DR Fort Pierce, FL 34945 _
(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.
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR S .NATI.RF ualifier)
_Cameron Christensen Matthew Franz
PRINT NAME PRINT NAME
_CVC57036 EC 13008217
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida Countyof St Lucie St Lucie
State of Florida, County of
The foregoing instrument was signed before me this 18thday of
November 2020•hy Cameron Christensen
who is personally known X or has produced a
as idenAfication. /
` I STAMP
Signrfure of Notary Public
Christina Fairless
Print Name of Notary Public
4� p CHRISTINA FAIRLESS
r°' n MY COMMISSION #GG975179
EXPIRES: APR 01, 2024
Bondod through 1st State Insurance
Revised 11/16/2016
The foregoing instrument was signed before me this 18th day of
November, Zo 20 by Matthew Franz
who is personally known X or has produced a
as:dcaption,.Jr
, J
a STAMP
Signature of Notary Public
Christina Fairless
Print Name of Notary Public
1pQ'Y pV CHRISTINA FAIRLESS
MY COMMISSION #GG975179
EXPIRES: APR 01, 2024
Bonded through 1st State Insurance
COUNTY
F
L
D R. 1 >d A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
MOMENTUM SOLAR /
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Matthew Franz
have agreed to be
Sub -contractor for Cameron Christensen
(Primary Contractor)
For the project located at 8509 Cobblestone DR Fort Pierce, FL 34945 _
(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.
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR S .NATI.RF ualifier)
_Cameron Christensen Matthew Franz
PRINT NAME PRINT NAME
_CVC57036 EC 13008217
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida Countyof St Lucie St Lucie
State of Florida, County of
The foregoing instrument was signed before me this 18thday of
November 2020•hy Cameron Christensen
who is personally known X or has produced a
as idenAfication. /
` I STAMP
Signrfure of Notary Public
Christina Fairless
Print Name of Notary Public
4� p CHRISTINA FAIRLESS
r°' n MY COMMISSION #GG975179
EXPIRES: APR 01, 2024
Bondod through 1st State Insurance
Revised 11/16/2016
The foregoing instrument was signed before me this 18th day of
November, Zo 20 by Matthew Franz
who is personally known X or has produced a
as:dcaption,.Jr
, J
a STAMP
Signature of Notary Public
Christina Fairless
Print Name of Notary Public
1pQ'Y pV CHRISTINA FAIRLESS
MY COMMISSION #GG975179
EXPIRES: APR 01, 2024
Bonded through 1st State Insurance