HomeMy WebLinkAboutELECTRIC SUBCCiu NTY
F L O R 1 D R
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Conipany Name/Individual Name)
the �-,. _ C, NN- I (-: C� Sub -contractor for
(Type of Trade)
have agreed to be
HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 1618 NW BUTTONBUSH CIR / 4426-840-0004-000-8
(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
fI of a Change of Sub -contractor notice.
CONTRA TOR SIGNATURE (Qualifier)
PRINT NAME
aggg�
COUNTY CERTIFICATION NUMBER
State of Florida, County of ailk�2
The foregoing instrument was signed before me this n day of
20jZ by
who is personally known _or has produced a
as identification.
' STAMP
Signature of Notary Public
Print Name of Notary Public
a
llotary Public State of Florida
Melissa D Showman
My commission GG 294495
Revised 11/16/2016 Expires 01/24/2023
SOB -CONTRACTOR SIGNATURE (Qualifier)
/Cr.CI � �CU�1Jl��JO
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-sf-
The foregoing instrument was signed before me this % day of
who is personally !mown _or has produced a
as// identification. 6
`I �,1q1) df'/ �(%�' L'� STAMP
Signatur
Vs� Notary Public State of Flonde
Dena M Fullwood
Print clo�$%y 10/18/2024