HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # 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)
For the project located at 3700 S 7th Street Lof 70Fort Pierce, FL 34982
(Project Street Address or Property Tax ID #)
have agreed. to be
2427-601-0060-000-0
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.
CON S[ E (Qualiter) SUB -CONTRACTOR SIGN. TUBE (Qualilicr)
PR NAlY1E
COUNTY CERTIFICATION NU'MBE
State of Florida County of
Donald B Green
PRINT NAME
EC 13007447 County - 29720
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
The foregoing instrument was signed before me thisday of The foregoing instrument was signed before me this 22 day of
%► .20&by lee3'�e- . �,_)� �t�{��vember ,2o�by Donald B Green
who is personally known or has produced ho i pe lly know or has pr need a
as identification.
I f
Im
• STAMP
Signature of � ota ublic
Print Name of Notary P btic
ISOM-`�,_...
s: ''
M •' `..'•OMMISSION ;t GG 3i]li8 , k
-xPIRES: March ti, 2023
.,
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iWThruNotaryPublicUndera' c?
Revised 11/1612016 ::
Joy Christine Copeland
Print Name of Notary Public
Q
JOY CHRISTINE C PELAND
Commission #Ff948042
My: Commission Expires
Janum 5, 2020
STAMP
l
the
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ae,
"q
(Co any Name/Individual N e)
Sub -contractor for
(Type of Tra )
(Primary Con actor)
have agreed to be
For the project located at �� p —5' 'f,) �oi�`e ?r �J
(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.
6:
�i'
CONTRA'e?!E (Qualifier)
PRINT NAME
i9UB1_eoNWc1K I ATURE (Qualifier)
29
PRINT NAME
bye�l
COUNTY CERTIFICATION N04VER COUNTY CERTIFICATION
State of Florida, County ofState of Florida, County of
The foregoing instrument was signed before me this _day of /� The foregoing instrument was'signed beforemethis �' day of
' 20/9,, by A l A � l o %�FR V Al � , 2O by e r
n1 � ., met
who is personally known or has produced !L% r who is personally known or has produced a
as identification.
I�P
Signature of - rotary Pqvil
zu1-D;C97 ra tea!
Print Name of Nota abli
pt,Qi 0 x-)�
i 3clur
) P4) k-, t--1 - -
Revised 11/16/2016