HomeMy WebLinkAboutSubcontractor Agreement .0 H -
RECE! . �� 6 2017 a'; a.a.�ua1
PERMIT# `.1 5 O ISSUE DATE
_. PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
s�
-- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
R Thompson Electric have agreed to be
(Company Name/Individual Name)
the Electric Sub-contractor for Mr Hustle Inc
(Type of Trade) (Primary Contractor)
For the project located at 25 Soverign Way, Fort Pierce FL 34949
(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.
CONTRACTOR SIGNATURE( fier) SUB-CONTRACTOR SIGNATURE(Qualifier)
Wanda Corigliano Robert Thompson
PRINT NAME PRINT NAME
k` 11l
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County ok-I U)6 1�_ d State of Florida,County 0&1
The foregoing instrument was signed before me thiis'l I day
�of1 The foregoing instrument
wassigned before me this �day
;o�f
ri 20 ,byjDfik l 11 1lrt1 t Wr) 2k ///,��by 1 1 �4 id�f `�1
who is personally known�or has produced a who is personally know.0 or has produced a
as identification, as identification. (� C
STAMP O� i 1 J�X�/�c/� \ STAMP
Signs r o to u 'c Signature o€�ALolary Public
Wou
Print Name o Notary Publi not Name of Notary ub
....
v Pia, ~HOLLY BURGESS
••`�v'RYPo'• HOLLY BDIRGE
;�. ,o; Notary Public-State of Florida ;o� a;%
» •g Commission#FF 211412 ?a* :° Notary Public-� • = Commission
Revised 11/16/2016 •.,;Foo-;' My Comm.Expires Mar 18,2019 , r MBonded through National Notary Assn. i oFF�oo-, y Comm.Expir' Bonded through Nat
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