HomeMy WebLinkAboutSub AgreementRevised 11/16/2016
PERMIT # ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
4 Building & Code Compliance Division
r
- - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Wavelength Electric, Inc. have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Treasure Coast General Contractor
(Type of Trade) (Primary Contractor)
For the project located at 5107 Indian Bend 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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
C C_l
COUNTY CERTIFICATION NUMBER
State of Florida, County of,�,' L
Ther foregoinginstrument was signed before me this 2 day off
who is personally known ✓or has produced a
as identification.
STAMP
Signature of Nola ublie
L t.[_^
Print Name of Notary Public
EKEED
tate of Floridaayesn GG 287729G23
5 ONT'RA OR SIGNATURE (Qualifier)
David Ervin
PRINT NAME
3a Q t .-1
COUNTY CERTIFICATION NUMBER
State of Florida, County of Paim Beach
The foregoing instrument was signed before me this 25
February .203j by David Ervin
who is personally (mown or has produced a
as identification.
day of
oru'�_'t' —i n A � 1 J 1
Si ature of Not ii ��•' �•.,
'���'•.
Jennifer L. Anderson = 4:'
s +
Print Name of Notary Public —