HomeMy WebLinkAboutSub-Electrical Application PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
— — BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
R . Nowe Elec+rlicT,nC . I • I (oWe ) have agreed to be
(Company Name/Individual Name) `
the el driccd Sub-contractor for P Acts &6 a Ce'4ka1 R ;D1C .
(Type of Trade) (Primary Contractor)
For the project located at 33Z ' SD 1 - 001 1 - 000 - 3
(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.
L y 1
CONTRACTOR SIGNATURE (Q lirier) -CONTRACTOR SI NAT (Qualifier)
'Brunt Weo P6. 2onald Q. 44owA�
PRINT NAME IPRINT NAME
CPC l4572SZ ECt500T933
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION
State of Florida, Comity of ,cej, OLQ' State of Florida, County of sr)% AQUL" /�
The foregoing instrument was signed before me this (0 day of The foregoing instrument was signed before 1me�this ' tom+ day of
SGl1� 2ov-, by 'BruC R. W"La. 2o2t , by Qonalcd 12. 46 ge
who is personally known �r has produced a who is personally ]mown ,V,• has produced a
as identification, asidentiticalion.
oc
STAMP / STAMP
Signature of Notary P blic Signature of Notary uc
Kene) 6W M . tewye/ ymna4tg M . Layvermm:
Print Name of Notary Public Print Name of Notary Public
E10
N Public State of Florida
Notary Publb Stale of Fbdda Kenirleth M Lauver 111
a9 Kenneth M Lauver III My Commission GG 339130��, res 0612DI20 G 339 Espires 08I20I2023
Revised I1 6/29f
POWER OF ATTORNEY
I hereby name and appoint to be my lawful attorney
in fact to act for me and apply to the&UAj P- (Dog6I Building Department for
a(n) Electrical permit for work to be performed at a location described as:
Lot: �� Subdivision: Cre e�c- Phase I
23 rd s het i Se L .0. -7B O SaM( .Cuue�FL (P
(Owner of Property and Address)
3321 - So 1 - co r t - o00 - 3
(Parcel ID)
,And to sign my name and do all things necessary to this appointment.
onald Howe EC13002 3
630 Lake Kathryn Cir. Casselberry, FL 32707
(407) 448-5851
STATE OF FLORIDA; COUNTY OF SEMINOLE
The foregoing instrument was acknowledged this�e day of 7Tr.,nQCLjW 2021,
by Ronald Howe , wh is personally know to me or as produced
(type of identification) as identification.
--Og--
Signature of Notary Publie, State of Florida
vc - KennethbMLauverState�lljlorida
My commission GO 339130
,Y Expires 06120/2023
aR
Kenneth M. Lauver 111
Print, Type, or Stamp Commissioned Name of Notary Public