HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
OU NTY
F L. 0 R I. i7 A
Don Green Electric LLC
PLANNING & DEVELOPMENT SERVICES"
Building & Code Compliance Division
(Company Name/individual. Name)
the Electrical
(Type of Trade)
BUILDING PERMIT "
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
have agreed. to be
For the project located at 3700 S 7th Street Lot J6`(Fort 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 3I URE (Qualifier) SUB -CONTRACTOR SIGN TURE (Qualifier)
/. g�_ ,
PR T j]NANIE
COUNTY CERTIFICATION NUMBE
State of Florida County of
Donald B Green
PRINT NAiV1E
EC13007447 County - 29720
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
The foregoing instrument was signed before me this, day of The foregoing. instrument was signed before me this. 22 day of
• bye»� • �{�veml3er , 20 1 `by Donald B Green
who is personalty known ___or has produced a�k =aLt
has pr aced a
as identification. P&,W Cr 1 /l P J
STAMP
Signature of Noturu
ublic
Print Name of Notary blic
P.4y f..'AMMISSION # Gt3 3008,
;XpIRES: March 6, 2023
Revised 11 /162016 :: ; : d Thru Notary Pubfic Under;' '' r
Joy Christine Copeland
Print Name of Notary Public
e0y CHRISTINE C PELAiVi)
Commission #FF948042
My Commission Expires
Janus 5, 2020
STAMP
Building -& Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Co any Name/Individual NaAe)
the c L t` t Sub -contractor for 2� /e��-nv
(Type of Tra ) (Primary ConActor)
For the project located at ?.)- o D .' 4f,) - 7— /— o ';r— t -OY
(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..
52��
.
iPRINT NAME.
- __ 4 PLANNING & DEVELOPMENT SERVICES
-e PIN e-2
19U I URE (Qualifier)
PRINT N ME
COUNTY CERTIFICATION NU14BElt 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
pme this �' day of
1 I i V' ,20/9,by ` l al j2 0 AlP,20 by en1
rret
who is personally known _or has produced �� er who is personally known or has produced a 11VA WE
as identification. q) w, 0 �Jp C Ja�— as identification. Toy (�l
P
Signature o04okary P r Signature of Notary Pu li
Print Name of Nota p ubli Print Name of Notary)Public
Revised 11/16/2016