HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
F
O NTY I '`�
LO lit 1 D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
DOUGLAS DANKNER
(Company Namer[ndividual Name)
the ELECTRIC
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for RAYMOND MEAD
(Primary Contractor)
For the project located at 8403 FORTWALTON AVE. FORTPIERCE,FL 34951
(Project Street Address or Property Tax ID d)
have agreed to be
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-c or notice.
C IL1CT()R 51GNATURE (Qusiirier)
RAYMOND MEAD
PRINT NAME
COI N"n' CERTIFICATION NUMBER
State orFlorida. Coant<arT—r g�AG1'{
The roregoirrg Micro meat w��as�sr."Ned b�rio`re me this 5� eiy or
who Is personally know )C--hn prodared •
its identiliurian.
r)
STAMP
Vaiar Nots a
�1}t�L.►� C�iez'�t1
Print Name orNoar} Pobtic
SITYLA CORSON
�.,,.
State of Florida -Notary Public
Itnnscd I Iii626tfi 1d _ Commission $ GG 227512
s;atlV_ rely Commission Expires
June 12. 2022
L'f1-Co. A[TOR_IGNATURi.(Quaiifier)
DOUGLAS DANKNER-
PRINT NAME.
COUNTY CERTIFICATION LNIL"MB£R
State of Florida, County or
The foregoing instrument *vs signed before me this day of
ZZ • 2421 by —rm-u;�Lp-,6 a:�n� k—Kic ly
who is personsity known or has produced a
is ldrnfificaffoa.
sTaatr
Sign ureorNotaryPublic
L o fl—
Print Name o otan Public
A CQRSON
L=:
orida-Notary Publicion a GG 227512mission Expiresne 12, 2022
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