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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
R Thompson Electric
(Company Name/Individual Name)
the Electric
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for Tryon Plumbing
For the project located at 221 Riomar Dr 3419-510-0054-000-4
(Primary Contractor)
(Project Street Address or .Property Tax ID #)
have agreed to be
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 {Quahfi„r} _
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 3 day of
December 20� by Robert Tryon
who is personally mown 1-or has produced a
as identiflc 'on.
7L
STAMP
gnature Notary Public
Melissa Butterfield
Print Name of Notary Public
�qsY Notary Public State offlonda
Melissa L Butterfield
ai My Commission GG 302065
E tares 02/14/2023
Revised 11/16/2016
SUB -CONTRACTOR IGNATURE (Qualifier)
Robert Thompson
PRINT NAME
EC13007306
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 3 day of
December 20;0 by Robert Thompson
who is personally (mown Lor has produced a
as identifica `n.
ti (✓�� STAMP
Sign a Notary Public
Melissa Butterfield
Print Name of Notary Public
WN�PVV�
Notary Public State of Florida
Melissa L Butterfield
My Commission GG 302065
'�tp�poa ;E _ires02/1412023