HomeMy WebLinkAboutsub, electricalPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/ f f .T v Lt L-�- w
L-. �w S l 1-c- 1 � L� � � e v uC'G C T have agreed to be
Company Name/Individual Name)
the : 1-e C-11,'r �, -:? ( Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at/ 0?A-9- -S , 04r -{✓ rl2 44 `I S 7
(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.
PRINT NAME
1-7�33
COUNTY CERTIFICATION NUMBER
State of Florida, County of �h
The foregoing instrument was signed before me this day of
QukrA)X,- , 20 -W by
who is personally known _or has produced a p o '-f d A- Dl/
as identification.
rVL-" I f ST.ANIP
SignatureofNo ryPublic WRY LEE MATTIS
COMMISSION # GG 064M
Gi. 1 IQ.S Ns` �7P�e EXPIRES: March 6, 2021
Print Name bf Notary Public Bonded 1?wu Budget NotarySenc"es
Revised 11/16/2016
SUB -CO CTOR SIGNATURE (Qualifier)
s C-tq L
PRINT NAME
2 fg-?2 E/c / 3Qo6370
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
1 (Y\be j , 20� by , \ (� i..Q 1N
who is personally known _or has produced a �4 - U SL
as identi c lion.
c
Signature 'of Notary Public
L(�
Qc^—
Print Name of Notary Public
�. Notary Public State of Florida
Lisa Bonura
• My Commission GG 223725
yor,�-
Expires 05/31/2022
STAMP