HomeMy WebLinkAboutSubcontractor agreement, electricalPERMIT # ISSUE DATE
CouNTY
F
L
O A
1 D A AW
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,T A_ E- U.-c4r o c.-1 SL r v �v cf_- 5 - - - - have agreed to be
(Company Namelindividual Name) _
the Sub -contractor for oa
(Type of Trade) ( Primary Cont actor)
For the project located at .c2 5 S (?1 /, �- A u t, , ,,,,I W ,r f A —
(Project Street Address or Property Tax ID #)
It is understood that, if there is any charge 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.
CONTRACTOR SIGNATURE (Qualifier) SUR-CO A OR SIGNATURE (Qualifier)
PRINT NAME
.Ye H M11
COUNTY CERTIFICATION NUMBER State of Florida, County of ecx t -,-, &C�, G{l
r h �; _S 9, , u
PRIM" 1' N,11► h
_tC i .. w s ySb
COUNTY CE:RIIFICATION NUMBER
Stale of Florida, County of P & \ rYM Ile cc CA
The foregoing instrument was sig
ned before me this day of Tlw foregoing instrument itias signed before me this Tdty of
,2oye
)—kby 1 horvxi, j _C'_t-,.c (-c,c&-A Et- o,---.21Q ,by C
who is personalty known or has produced a nho is personally known nr has produced a
as identification.
MfN.I.,,
t.Public
Print Name of Notary Public
Notary Pubec Sta4s of Fbtidt
Traci vew
My,,mmismon GG 437Tr1
j Experts 1210n12023
Revised 1 IA6l2
as identification.
STANIP I VG STAMP
S •nature of Noiarti Public
Print Name of Notary Public
Notary Public State d F&"
+P Traci Vt iez
ivlly commission GG 937771
Expaes 12ION2023