HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT RECEIVED
SUB -CONTRACTOR AGREEMENT MAR 11021
Permitting Dapartment
St. Lucie County
JGE II have agreed to be
(Company Name/Individual Name)
the Electrical j Sub -contractor for Coastal Palms
(Type of Trade) (Primary Contractor)
For the project located at Lot 6 W. Midway Rd 3304-603-0007-000-2
(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.
SIGNATURE (Qualifier)
J,Ason Hsu
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
ft'& - ,207t,byZ SDn �U
who is ersonally know _or has produced a
as identification.
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gnature of Notary Public
ham
Print Name of Notary Public
Revised 11/16/2016
S -CONTRACTOR SIGNATURE (Qualifier)
John Gazdacko
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of "� 61 / e-
The foregoing instrument was signed before me this � J? day of
, 20_, by J d ko C9A,? /ACZO
who is ersonally kno or has produced a
as identification.
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ignature of Notary Publict
Print Name of Notary Public
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