HomeMy WebLinkAboutElectric SubPERMIT # -ISSUE DATE
OU :D�A
C L O R I
PLANNING & DEVEg,OPINIENT SERVWES
Bali➢din� &(Code Compliance Division
BUILDING PERi\iiT
SUB -CONTRACTOR AGRFENIENT
C:;, k_ 3i hC _Sd "\ GrazJ-tcVC) have acreed to be
(Company Name/Individual Name)
the r ( _k-6—N. Sub -contractor for. (StrU24 6 c t1(
(Tvpe of Trade) (Primary Contractor)
For the project located at Sj 71'�, -z 10 -
(Project Street Address of- Property Tax iD if)
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.
i Off. tom.-,2s�.I� l4-VUZC� __
PRINT NAME
COUNTY C'ERTiFICATiON NI:NIBFR
State of Florida, Count' of L.icie,
The foregoing instrument was signed before me this �_ day of
20 ?A. by _
who is ersooalh�or has produced a
as identification.
✓1� :A", STAyiP
Signature oQ30tary Public
\ \�
Prin(Namvjf Notary Pu )lic
Kelly Finley
c�°ZpRYAssOn Notary Pblic
'State of Florida
Revised 1I'Ib 3010 = Comm# HH082506
ONCE tTA% Expires 1/19/2025
/� & ,. __
SUB-C'O RACTOR SI , ATURF. (Qualifier)
Jp�v\ GrA 2d CIC.Ko
PRINT NAME
,3\1LJ
COUNTY CERTIFICATION N-UNIBER
State of Florida, County ofa LA Gt.,
The foregoing instrument was signed before me this ZL day of
2021,by Scan Gazd(ac,Ko
who is personally known _or has produced a b'"Ars L �CWSA,
as identification.
STAIMP
Signature of Not Public
_ K R_1 W Rv\l(,y
Print Name of otary Pu lic
Kelly FinleY
Ammer Notary Public
a o State of Florida
2" ? Comm# HH082506
�S�NCE �9�� Expires 1/19/2025