HomeMy WebLinkAboutA2P0036 L600 EP EC signed870159 TMO L1600 A2P0036B
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): EC0000187
East Ocean Electric of Florida Inc/Robert Koenekamp
(Company Name/Individual Name)
Electrical
(Type of Trade)
have agreed to be the
Sub -contractor for Olin Wayne Companies, Inc
(Primary Contractor)
For the project located at 1100 Dyer Rd., Port Saint Lucie, FL 34985
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: ce /�;;-) eci4q e 0 i- n—
Address:
City/State/Zip:�y'1 Phone: email:
co
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SSIGNED BEFORE ME THIS � ft' DAY OF ' - , 20�
BY '('�t.�t'li�Ksn•lt" --- WHO IS PERSONALLY KNOWN toZ OR HAS
PRODUCED
AS IDENTIFICATION.
V I I / PRINT NAME OF NOTARY PUBLIC
SIGNATURE OF NOTARY PUB IC
SLCPDS: 08/06/2014
�� Y yu4� Notary OTCAM A Florida
Linda Palozzoia
4 - 6 My Corr?mission GG 197440
1ui,,o Expires 04/07/2022