HomeMy WebLinkAboutSub agreement, electric PERMIT# ISSUE DATE
:. PLANNING & DEVELOPMENT SERVICES
{ T t. - Building & Code Compliance Division
. RECEIVED
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT OCT 0 6.2017
PERMITTING
St. Lucie County, FL
,�• ZF CJ have agreed to be
(Con n;jgdiv,idual Name)
the ; CJVA-A Sub-contractor for )Can Q ►s
(Type d Trade) (Primary Contractor)
For the project located at o��` S` ��� ayGi
(Project Street Address or Property Tax ID#)
I
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) SUB-CONTRACTOR SIGNATURE(Qualifier)
l
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
,�
State of Florida,County of iMM State of Florida,County of
The foregoing instrument was signed 1before me this.S day,off` The foregoing instrument
was signed before me this L'�day of
:20Q,by wX,�1 . TJI*1 f CL 20� I,by {� K �t✓�!
I
who is personally known_or has produced a who is personally known or has produced a
as identif a'on. as identifi n.
STAMP STAMP
Signatur of o ry Pub c Signature o otary Public f
Print Name of Notary Pub l Print Name of No ublic
i
Csglg Emmette MacCoy Ctalg Emmett®MacCoy
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Revised 11/16/2016 C=M#FF99WI . COMM#FF994401
ExpSfft 51=020 E-Vms 5/2812020