HomeMy WebLinkAboutSubcontractor agreement, ELECTRICALPERMIT # ISSUE DATE
P-"lam PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
a
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
)p ime ye/ 42V-Z have agreed to be
(Company N4me/Individual Name) the r-4ic+rl ca/f Sub -contractor for 'L8t41r
(Type of Trade) (P ' ary Contractor)
For the project located at 23 2-o
(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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
0_(A__kCN1515 :935
COUNTY CERTIFICATION NUMBER
State of Florida, County of Dade
The foregoing instrument was signed
j before
,(me this: day of
04 ✓(i/ 202j by- r/r / X Oi 1051� CJj"
who is personally known V or has produced a
as identification.
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STAMP
0-of Notary Pub '
Print Name of Notary Public2025
yipN H1P � APM 28,
ni
Revised 11/16/2016
SIGNATURE (Qualifier)
mvil
COUNTY CERTIFICATION NUMBER
State of Florida, County of)-)CA8c L
Th foU'reggoi{ng instrument was signed before me this`h day Nof
\X, , 20U by SCf r kAt I .
who is personally knownzr has produced a
a cation.
STAMP
re of Notary lic
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AO 28, LVW