HomeMy WebLinkAboutElectrical Sub Contractor�i
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Date.* June 21 $ 2021,
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June A21. 1 2 021
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Addana FUente
Notary Public
Permit Number* 2007-0559
-SLU License
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PLANNING & DEVELOPMENT SERVICES
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Building &Code Compliance Division
In 111 ljjllg�) of tid] V I
bA JQ. �t/� � have agreed to be
(Company Name/Individual Name)
the electrician Sub -contractor for Murphy Homes and Rentals, LLC
(Type of Trade) (Primary Contractor)
For the project located at 8750 S Ocean, #833, Jensen Beach
(Project Street Address or Property Tax ID #)
It is understood that, if there is and change of status regarding our participation with the above mentioned
project the Building and bode Regulation Division of St. Lucie County will. be advised pursuant to the
filing of a Change of dub -contractor notice.
CONS.
GNATURE (QuaHfier)
P rjr4t, rY � (e'rl
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Floiqda, County of Q\'... v1
The foregoing instrument was signed before xne this � � day of
20%1 by
to
who is personally �tovvn or has produced a S�� Y`��''� ti �.,, who is pe��sanally 6�na� n or has prodated a IF Q � �+�y � 1
UB-CONTRACTOR SIGNATURE (Qualifier)
&S,17P ) 4./
19 1 lizi Re A L
COUNTY CERTIFICATION NUMBER
State of 141oricla, County of
Ant Name Notary Public
Notary Public, State of Florida
Commission# GG 277262
y corm. expires Nov- 1, 2022
The fol�egoing instrtunent was signed before me this day of
�A10 , ' `ao� 1 � �20
j4it Name of Notes Public
(W
STAMP
Notary Public, State of Flo d
Commission# GG 277262
My Comm. expires Nov. 15, 2022
Revised 11 1 1