HomeMy WebLinkAboutSub-Contractor Agreement-PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING. PERMIT
SUB -CONTRACTOR AGREEMENT
Don Green Electric LLC
(Company Name/Individual, Name)
the Electrical. Sub -contractor for
(Type of Trade)
(Primary Contractor)
have agreed. to be
For the project located at 3700 S 7th Street Lot' ,?'6 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.
CflNT . 5I i7RE (Qualifier} SUB -CONTRACTOR SIGN PURE (Qualifier)
PR T NAME
COUNTY CERTIFICATION NUMBE
f FI 'da C f
Donald B Green
PRINT NAME
EC 13007447 County - 29720
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
State o ors ounty o
The foregoing instrument was signed before me thisday of The foregoing,instrument was signed before me this 22 day of
'V .20,%�,�byei''�e �1�i'vember ,2ajjbg Donald B Green
who is personally known orhas produced a: ho i pe oo Ily know or bas pr aced a
N cr�`
as identification PLAa
Ja STAMP
Signature of �ota-blic
�Lt 3_�>
Prins Name of Notary blic
,ti jC)REY B. HUf�,'ss h'r ;_
r,ommissioN It GG 3008,
° EXPIRES: March 6, 2023
a
'•'` . ` Revised 1 il16/2016 >:d Thru Notary
!:
r V I
Joy Christine Copeland
Print Name of Notary Public
i
c"wvPo JOY CNRISTINE C PELAND _
Commission #FF948042
My Commission Expires
Janus , 2020
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-e in --2 -Z-.e - GPO
have agreed to be
(Co y Name/Individual Narhe)
the rc I V" Sub -contractor for .241 ,41 -e �P /e //4 POL "z
(Type of Tra ) (Primary Con ctor)
For the project located at 3 s 40f.f`r °' _�` 6
(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.
CONTRA4765Aff?AJJAfE (Qualifier)
U I ATURE (Qualifier)
PRINT N ME 61/
-COUNTY CERTIFICATION N BER COUNTY CERTIFICATION
State of Florida, County of ' State of Florida, County of '
The foregoinginstrumentwas signed before me this day of , y The foregoing instrument was signed before me this day of
7019, by ` l �L � /e e ` R 0 Al i-4? by
. � � per
who is personally known or has produced �l r,r� who is personally known or has produced a
as identification.as identification.— /JZ( ledmor— a2im�4v P ___
Signature of otary P 1 Signature of Ni
ADLI_DAZ'�_-Akr�-�1
Print Name of Nota m ubli Print Name of
Revised 11/16/2016
j