HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATEL_
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING. PERMIrr
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 Lof X+ 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 Si URE (Qualifier) SUB -CONTRACTOR SIGN TURF (Qualifier)
PRIZI 1T NAME
) ( �
COUNTY CERTIFICATION NUMBE
Swte of Florida County of
Donald B Green
PRINT NAME .
EC 13007447 County - 29720
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
The foregoing iustent was signed before me thisday of The foregoing instrument was signed before me this 22
rum
'V .20,by &3le • �E! t. gj'1)t0Vvember. ,2ojJbyDonald B Green
who is personalty known or has produced s�� r ho Uip U.Hy know or has 711)
d a
as identification 1
STAMP
iX.
Signature of � ublic
C�tiJ
Print Name orNotary He
;XPIRES: March 6, 2023
Revised 111W2016 cdThruNotaryPubltcUndsTt':!
Joy Christine Copeland
Print Name of Notary Public
o�"arA !0Y CHRISTINE C PELAND
Commission #FF948042
' My Commission Expires
Januag 5, 2020
day of .
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
P%-2 —Z--e 1,41
the /"� L.
(Type of Tt
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 44 � � �r /e
(Primary Con ctor)
For the project located at 3•� Q 4f/X. v`r %� '-,
(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.
,�sII
CONTRAC
.��
iME (Qualifier)
igu:� ��' • e
COUNTY CERTIFICATION NUMBER /1 COUNTY CERTIFICATION
State of Florida, County of State of Florida, County of
The foregoing instrument was signed before me this dray of / The foregoing instrument was signed before me this �' day of
V' , 20& by t l K vl � IPER D A I", 2 by e %% �
met
who is personally known _or has produced �l r who is personally known or has produced a
as identification. q)/t✓ SPP 49 as identification.J.& ozoor—
i
P
Signature oFr4otary Pufflii Signature of Notary Pu li
Print Name of Nota m ubli Print Name of Notary)public
Revised 11/16/2016