HomeMy WebLinkAboutSub-Contractor AffidavitIIPERMIT# I O7, ` I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
J - - Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ark Electric
(Company Name/Individual Name)
the Electric
(Type of Trade)
For the project located at
(Project
have agreed to be
Sub -contractor for Palm Coast Shutters & Aluminum Products, Inc.
(Primary Contractor)
s 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-contraftor notice.
�� YCERT� AT O: �NfMBER
State of Florida, County of _ 2 den aol_
The foregoing instrument was signed before me this
day of /l
Q�pers...11y
20�, by
ho iown�or has produced a /
STAMP
i
SUB -CONY CTOR S (Qualifier)
Kenneth DeGrazia
PRINT NAME
C21 150L
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this /I/ day of
nu � ,20 Zl, by lZeevri e DECK•?--z�'a
who is personally known _Y__or has produced a
as identification.
Signof otar Public
(:9,o✓an"CL zaaWs k/
Print Name of Notary Public
\, i.r Notary Public State of Florida
myCo na Drasion GGl
My Commission GG 287096
a Expires 01 /26/2023
STAMP