HomeMy WebLinkAboutSub agreement,ElectricPERMIT # I / C� Z �: �r I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
GOLDSTAR ELECTRIC/JOHN CAVNAR
(Company Name/Individual Name)
the ELECTRICAL
(Type of Trade)
have agreed to be
Sub -contractor for TOD BATSON/MOANA MANAGEMENT
(Primary Contractor)
For the project located at 3522-605-0024-000-3
(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.
CONTRACTOR 4 G_` 'RE (Qualifier) SU '.ONTRACTOR SIGNATURE (Qualifier)
John Cavnar
PRINT NAME PRINT NAME
1 Q 23575
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
state of Florida. Count} of 5 ("-A, State of Florida. Counh of-si - wc,. Q
The foregoin instrument was signed before me this � do of The foregoing instrument was signed before me this �Q day of
20�, by [1d , 20:7A, by A(J r% c ay rKi r
who is personally known ✓ or has produced a eho is personally known'�__or has produced a
as identification. as identification.
STAMP l.G SSTsT
Signatu . of \otarr Public ignature of Notary Public
'n /0 m ;
Lis- !� N, V V I LA o l A eaJ-Y-M t(2 C-0 t O✓
Print Na �YVM i I' iilPrint Name of Notary Public yo
a
Notary
T Lisa Public State of Florida + " €
p 1 S
• Galvin
�/ MY Commission GG 198680 W
Of 0% C Ures 03/21/2022 a.
Revised 11/16/2016 ` �'