HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
UNTY
F L, 0 R ` i 'g 'A
Don Green Electric LLC
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual. Name)
the Electrical
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
have agreed to be
3700 S 7th Street Lot 1,'fFort Pierce, FL 34982 2427-601-0060-000-0
(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.
CONT . S[ E (Qualifier) SUB -CONTRACTOR SIGN TURE (Qualifier)
PRENT NAME
3 " s)
COUNTY CERTIFICATION NUMBE41
State of Florida. County of
The foregoing instrument was signed before me this 7 day of
(K I rv' .20A„by F—E-J-)e • c
who is personally known or has produced ZA 1
as identification. TIPL P C Y'
Signature of Notaru
ublic
STAMP
�i
Print Name ofNetary blic
Tion-Y B.
"•OMMISSJON # GG 30u8 ;k
;EXPIRES: March S, 2023
Revised 11/16/2016 Publlc
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Donald B Green
PRII9T NAME
EC13007447 County - 29720
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
The foregoing instrument was signed before me this 22 day of
g4r.r)j,vember .20 1 by Donald B Green
Joy Christine Copeland
Print.Name of Notary Public
o�ravPo J - CHRISTINE C PEW
Commission #FF948042
w Commission Expires
Januag 6, 2020 i
STAMP
p PLANNING & DEVELOPMENT SERVICES.
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Co any Name/Individual Na)Ete)
the z c.L I � Sub -'contractor ��ontractor for 1d4ynV
(Type of Tra ) (Primary Contlactor)
For the project located at
3 1> o s 0j ` f—__--e - r d -1- ?-)-
(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.
CONTRAC�F65.97AJWE (Qualifier)
PRINT NAME
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w"
IIUI=
I ATURE (Qualifier)
50
PRINT N ME
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COUNTY CERTIFICATION NU BER COUNTY CERTIFICATION
State of Florida, County of�� State of Florida, County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this —�7'- day of
� I �' 20a by ��
Jlit G� 0 %���211 %�l � ; ia� by e %7 C' L
rner
who is personally known or has produced r who is personally known or has produced a l /^
as identification. as identification
i
P 011
Signature of otary P 1' Signature of NotaryPu71i plur
Print Name of Nota? ubli Print Name of Notaryublic
Revised 11/16/2016