HomeMy WebLinkAboutLOW VOLTAGE- Sub-Contractor Agreement Form-COUNTYANEW
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divii
son
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Levalds Technical Coordination Group !Luke Benedetti
(Company Name/Individual Name)
the Low Voltage
(Type of Trade)
For the project located at
Sub -contractor for
have agreed to be
Wilsan's Petroleum
(Primary Contractor)
7310 Indrio Road Fort Pierce, FL 34951
(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.
State of Florida, County of��`�f�
The fore/going Instrument was signed before me this day of �/� /
20%',by'l T I�G"N /
who is personally known or has produce�dfa
r
as Identification. J04e 'QC)
STAMP
rc of Notnry Public
lMg2� �01
Print Name of Notary Public
V
"`� MARK SPIEGEL
MY COMMISSION # GG335907
"�„� EXPIRES: May 16, 2023
Revised 11/16/2016
SIGNATURE (Qualifier)
Luke Benedetti
PRINT NA
ME
294
32
COUNTY CERTIFICATION NUMBER
State of JA, Countyof a r t
The foregoing instrument was signed before me this Z day of
who is personally (mown ►�or has produced a
as identirtcation.,t
I
! 2AAe- (� .ril STAMP
Signature of Notary Public
of Notary Public
",v IYY
,a` ��. BRIAN OLLAR
Notary ID g129414597
My Commission Expires
May 26, 2021