HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Courtney Electric, LLC
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Remote Access Sales II
(Primary Contractor)
For the project located at Sands on the Ocean. 3100 N Hwy Al Ft. Pierce, FL 34949
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our partici
project, the Building and Code Regulation Division of St. Lucie
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
C 0-4 gL-q—) 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this,day of
W►'c, 202L by aS UL&LnzSG1
who is personally known X—or has produced a
as ident cation.
Signat a of Notary Public
C,i lM� M
fi
�t�me of Notary Public
o101Y4 Cynthia Marie Bean
NOTARY PUBLIC
STATE OF FLORIDA
= Comm# GG195204
RevW20L6xpires 4/20/2022
with the above mentioned
Steven R Courtney
PRINT NAME
pursuant Jo the
EC13006555
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1AJb I !�� t U6?---
The foregoing instrument was signed before me this day of
MAC+ , 2021 , by 5_CI vV& 1 Cov)-rNc y
who is personally known —Lor has produced a --
as identification.
STAMP STAMP
sigoture of Notary Public
bye k-,fi-i~ lVWSey
Print Name of Notary Public
var'a DYLANKYLEDAWSON
y1r� F.xplresSepttlmber8,2022
��OFF���� BdldadTIYUBUdp�tlld�tYt;ilYiOM
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
So -cur,
have agreed to be
(Company Name/Individual Name) k
the L,,j V , Sub -contractor for
(Type of Trade) (Primary Contractor)
For the proj ect located at 1'%)-5—(O(o-000U-600
(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.
A)S5�IZ�
CONTRACTOR SIGNATURE (Qualifier)
Rt ,S,SP ( L.o sd n
PRINT NAME
COUNTY CERTIFICATION NUMBER
SU CB ON1,�RACTOR SIGNAT IU_RE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of State of Florida, County of ri C2/I/"1-i",
The fore oing instrument was signed before me this Lr day of The oregoing instrument was signed before me this Y�of
20_, by 20 �, by W,
who is personally ownor has produced a who is personall ownor has produced a
as iden ' ation.
as ide fication.
'"W", 0 - I za &Z—A— STAMP
1�u
Signatuoof Notary Public
Signat a of Notary Public
Print Na a of Notary Public
Print N,aOe of Notary Public
°ZARY&q Cynthia Marie Bean
NOTARY PUBLIC
� oQ
Bean
S�RyAs�
Y
oarie
STATE OF FLORIDA
NOTARCynthia
PUBLIC
= Comm# GG195204
y,STATE OF FLORIDA
spoor.;;`
`PNCE 191% Expires 4/20/2022
Comm# GG195204
Revised 11/16/2016
E IExpires 4/20/2022
STAMP • -