HomeMy WebLinkAboutSub contractor, electricianPERMIT # 2011-0542 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RACEWAY ELECTRIC LLC/Adam Race
(Uompany Name/Individual Name)
the ELECTRICAL
(Type of Trade)
Sub -contractor for ARMOR SCREEN
(Primary Contractor)
For the project located at 1815 NW BUTTONBUSH CIR , PALM CITY, FL 34990
(Project Street Address or Property Tax ID #)
have agreed to be
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.
CONTR O�UIRE(Qunjl_fi�_,�_
c 10VNn ELzKQY
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County o1. JQAhl &G.Ch
Th foregoing instrument was signed before methis Any of
20&, b/y �' in
wh�IsperAs..ak,'own 1� or has produced a
as Ide B do .
STAMP
Signature of Notary P b c
Print Name of Notary Public
ANDREA HERNANDEZ
i z Notary Public -State of Florida
Commission 0 GG 923758
My Commission Expires
Revised II/Ibl?t November 09. 2023
SUB -CONTRACTOR SIGNATURE (Qualifier)
Adam Race
PRINT NAME
EC13010078 / 29332
COUNTY CERTIFICATION NUMBER
State of Florida, County of o_� 3 e &L ( k
The foregoing instrument was signed before me this day of
who is personally known L or has produced a
as identification,
STAMP
Signatyt a otary/P�ublic
��'1 1 l'ti'� 1� 11 ✓i rl�' .�
Print Name of Notary Public
a
llotary Public State of Florida
Kimberly Bunner My Commission GG 232808
Expires 06/27/2022