HomeMy WebLinkAboutSub-Contractor Agreement. . . . . . .... KDOUE DATE
BUILDING PERMfr
Don Green Electric LLC have agreed to be
(Company Name/Individual Name)
the Electdcal Sub -contractor for
(Type of Trade)
For the project located at 3700 S 7th Street
Address or
"M
(Primary Contractor)
Fort Pierce, FL 34982 2427-601 -0060-000-0
Tax ID 9)
It is understood that, if there is any change of status regarding our participation with the above rnention.ed
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.
SUB-CONTR IGN VTURE
'C�ONT, Sl URZ ACTORS ualifier)
PRrRT NAME
.3 0 S) �•
COUNTY CERTIFICATLON,NUMBE
State ofFlorlsda, County of. 5k'4't_L
The foregoing instrament was signed before me this,dayof The foregoing instrument was signed before me this 22 day of
vember
Donald B Green
nipoV2 1, by
ZC)&V)Ak_ I li � —
who is Personally known or has produced
as ldeatification: C, y-
041 Jbi e4X4
U
Donald b Green
PRINT NAME
Print Name of Notary P�blic �blic
XA)REY B. HUWPF"
;XPIRES: March 6,2023
iedThruNotaryPublicUndEr,
Revised 1,1116)2016
EC13007447 County -29720
... . . . .........
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
Joy Christine Copeland
Print Name o-,F—Nlo' ta, ry P'ublic
JOY CHRISTINEVOPELAND�
Commission #FF948042
My: Commission Expires
JanuaryS,2020
STAMP
-.:;a PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Co ny Name/Individual NaAe) �
the_ C a� �" Sub -contractor for 2�-e lx�r Olt I-e / A''L
(Type of Tra ) (Primary Con actor)
For the project located at -S' /_,0 `� i
(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.
CONTRACe?•
INT NAME
U - C I ATURE (Qualifier)
PRINT N ME
-3 01y) � J"
COUNTY CERTIFICATION NU BER COUNTY CERTIFICATION
State of Florida, County of State of Florida, County of
The foregoing instrument was signed before me this-2 day of The foregoing instrument was signed before me this day of
,20�_/.by ' l l`L vl DBEs 0 /1lfi),2. by Qhe
nI r,
who is personally known or has produced �/ r who is personally known or has produced a
as identification. /I JJ 10 Ja?L—
P
Signature of otary Pulflil
Print Name of Nota ubli
Revised I1/16/2016
as identification.
Signature of Notary Pu li
4 LO) -
Print Name of Notary/Public