HomeMy WebLinkAboutElectrical sub permit Mclamb PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Q!2-�777 Tx- __ �"�
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
XTREME ELECTRICAL SERVICES have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub-contractor for TAYLOR MADE POOLS
(Type of Trade) (Primary Contractor)
For the project located at 750 EMERALD AVE., FORT PERCE, FL
(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 Chan e of Sub-contractor notice.
C : TRACTOR SIGNATURE(Qualifier) SUB-CONITR,%CTOR SIGNATURE(Qualifier)
CHRIS RIENDEAU
PRINT NAME PRINT NAl1E
C-__v 1 KS� EC13005450/ 29852
COL -TY CERTIFICAT ON NUMBLR COU:'V'I'V'CERTIFICATION NLIMBER
State of Florida,Counh,of k \ Qj�� h State of Florida,Counts of -Fa`� &C,C1,
The foregoing instrument was signed before me this 5— day of The foregoing instrument wvas signed before me this 5--dav of
A _,202pl by�`�T1r10 e�etet�Cre�1-r�. Q r: zoatbbyy 1�P,S ���.,�e�.,�
who is personally known +/or has produced a_ who is personally known, or has produced a
as identification. as identification.
S!'AN2P STAMP
SignaAW'-�Wryftbllc�� Signature of Nu ary Public
.��? VC.L . I._VC�z
Print Name of Notary Public Print Name of Notary Public
Notary Public Suits of Florida ''' Notary PJDhc State of Hord"
TreCi Velez Traci Velez
+� My Commimion GG 937771
My commission23 937771
yp00 Exp+re! 12,UV2023 aN Erprea 12/oBt20
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