HomeMy WebLinkAboutJT Electric SubPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
am. -
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
XTREME ELECTRICAL SERVICES
have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for TAYLOR MADE POOLS
(Type of Trade) (Primary Contractor)
For the project located at 5955 WHIPOORWHILL LANE
(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.
ONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
C Vic. I Ks lI
COUNTY CERTIFICATION NUMBER
State of Florida, County of lot,
The foregoing instrument was signed before me this Lt day of
vi Ig 20Aby �yartnn fY-utC0.c_rr o�
who is personally known _1Lor has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
Notary putNtc State of Flw da
Traci Velez
My Commission GG 937771
D
wt~ Exp-res i2foW2023ed 1 1 /2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
CHRIS RIENDEAU
PRINT NAME
EC13005450 / 29852
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _y__ day of
1 � n.uol- , 2W , by R fie ld e sw
who is personally known or has produced a
as identification.
4M,1jj,CL-� STAMP
Signature of Notary Public
Tic/ Ue f�,-- -
Print Name of Notary Public
Notary Pubk State of Florida
1 raCi Velez
rf My Commtss"t GG 937771
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