HomeMy WebLinkAboutSub-Contractor Agreement PERMIT# ISSUE DATE
_,,_r , j_ e _ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUH DING PERMIT
SUB-CONTRACTOR AGREEMENT
`—O W G �_' L E QV VZ- C. Z 0 C', have agreed to be
(Company name/individual Name)
the Electric Sub-contractor for NA
Lp, �► 4D�S� ��(�C.
(Type of Trade) (Prise Contractor)
For the project located at 9960 S Ocean Blvd. #1101, Jensen Beach, FL 34957
(Project Street Address or Property Tax TD#)
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.
2e' —
C TRACTOR SIGNATURE(Quniifler) -v CONTRACTOR SIGNATURE(Qonlirter)
Katherine LaDeene Dodson ,p �40j ter. 44�? _-_- 4:f_�'
PRINT NAME PRINT NAME
CBC 1250637 � Q 9 q 1
COUNTY CURTMCATiON NUMBER COUNTY CS RT►FICATION NUMBER
State of Florida,County of St W LIC State of Florida,County of3k t VL6l�l
The foregoing instrument was signed before me this 3 ``day of The foregoing instrument was slgued before Tin this_dna•of
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HCkrCh 2o�U {�by �L il��11C LQVCSfl�. 0(60A Y) l .2ozi hycm i �L s Y `/
who is personally(mown X or has produced a who is personally known�Pr has produced n
as ideutlricatio(�n.y� as Id Ificat u.
y AA111 5TANA'
Signnmre orNolary Public Slgnnturc 0 019•y 1'1dll c
Print Noted_nfNdury Public 6611 Nwine of Nnrxry Public
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y.
+? Sabrina M Arrington
Reviscd 11/16/2016 My Commiss GG 9M270
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