HomeMy WebLinkAboutSubcontractor agreement, Electric AffidavitPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
y..
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Roland's Electric - Roland Grigley
(Company Name/Individual Name)
the ELECTRIC
(Type of Trade)
have agreed to be
Sub -contractor for Farrow Construction Corp.
For the project located at 8401 LAKELAND BLVD.
(Primary Contractor)
(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.
CONT O ATURE (Qualifier)
Joshu Farrow
PRINT NAME
26878
COUNTY CERTIFICATION NUMBER
State of Florida, County of Indiaa River
The foregoing instrument was signed before me this 12th day of
Arpil 20_ by Joshua Farrow
is personally known _or has pXoduced a
STAMP
of Notary Public
Renee Eiswerth
Print Name of Notary Public
I, / Q�A
SUB -CONTRACTOR SIGNATURE a ier)
Roland Grigley
PRINT NAME
32176
COUNTY CERTIFICATION NUMBER
State of Florida, County of Indian River
The foregoing instrument was signed before me this 12th day of
Arpil 20, by Roland Grigley
Renee Eiswerth
Print Name of Notary Public
` �(i''.,, RENEE E. EISWERTH
`g ;'i Notary Public • State of Florida
'��"�1`r Commission q HH
p44021Revised
2024M
�'cs`:' M Comm. Expires Se 20,
through National No3ondet through National Notary Assn.
"v n •,
Notary Public - State o
RENEE E. EISWER]20,,22024
�4Commission HH O
11/16/2016 ?�cY'�..
Comm. Expires SepY3orded
STAMP
a .ye..s±,. `-:S_:i, Asa•.-e�',,, a:,
s� _ ..
,, r
- - .. - 4 -
-.5 4w ...`'Slot .yyn n .[ .. ..