HomeMy WebLinkAboutELECT SUB,COUNT
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RJS ELECTRIC INC (d/b/a) Electric Connection ------- have agreed to be
— _ ----------- --- -
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for HOMECRETEHOMES INC
(Type of Trade) (Primary Contractor)
For the project located at 2433-801-0068-000-9
(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
filin of a Change of Sub -contractor notice.
CO RACTOR SIGNATURE (Qualifier)4,II tY)'rlt:\( I'l►R SIGNATURE (Qualifier)
Randy Sjaardema
PR T NAME PRINT NAME
---a �� -- 21055 -- -
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER -
State
of Florida, County of
& Lue—) State of Florida, County of St Lucie
The foregoing instrument was sig before me this day of The foregoing instrument was signed before me this 28 day of
_ ;n�_ _ _ -_ • 2a, by�_ r -- June 20_, by Randy Sjaardema
who is personally known t% or has produced a _ _ who is ri-sonalh kwm n a has roduced a
as identification. as idrntifrt#inn...
AAr,
`v-�,1 __STAMP
SignaNotary Public Signature of Notary Public — STAMP
Print Name of Notary Puc Print Name of rN itar}• Public
.1sr ►�'y Notary Public State of Florida ab
aQ �^ Melissa D Showman SITYAN BROMELOW
MY Commission. GG 294495 Notary Public Stat. of I londa
ah Expires01/24/2023 Cornmisswn GG26371'
My Comm Expires Oct ' . 202, r Revised 11/16/2016 Bonded through Nation ti Notary Assn H`
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