HomeMy WebLinkAboutSLC . PRIDE SERVICES_IIPERMIT # 12104-0419 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
- Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pride Electrical Services of Florida Inc.
(Company Name/Individual Name)
the Electrical
(Type of Trade)
have agreed to be
Sub -contractor for Design Concrete and Masonry LLC
(Primary Contractor)
For the project located at 9675 Range Line Road, Port St. Lucie, FL 34987
(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.
s
CO R.A "I'OR SIGNATURE (QQualifier). /r
NT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'ST U L *%'P_
The foregoing instrument was signed before me this �"1 ayof
_. 207A b) � �Ot{ � to K
echo is personally known _V—or has produced a
as identification.
"e t/ ST:\Nlll
Signature of Notary Pudlic
I A it l n�
Print Name of NotaryLblic
VWCEISIt7'
Cindy M. Rine
NOTARY PUBLIC
cSTATE OF FLORIDA
yComm# GG969922
Expires 3/27/2024
Revised 11/16/2016
F/
1
SURflb. CTOR SI N RE (Qualifier)
PR ;'NAME
COUNTY CERTIFICATION Nl'11BER
State of Florida, County of 4 Z
The foregoing instrument was signed before
``me --this _�ay of
_, 20 A, by Ifs �M .�/� 914
who is personally known ✓ or has produced a
as id cation.
STAMP
Signature of Notary
�/Public
ID 0_4j A,
k'
Print Name of Notary Public
*61s,
David Raymond Prue
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG287052
Expires 1/26/2023