HomeMy WebLinkAboutAPP MEPERMIT #
COUNTY
F
L O
R 1 D A
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEM ENT
PRO MECHANICAL AIR COND INC have agreed to be
(Company Nametindividual Name)
the MECHANICAL Sub -contractor for BELA VISTA CONTRACTORS, INC.
(Type of Trade)
(Primary Contractor)
For the project located at 5608 Palm Drive, Fort Pierce, FL 34982 (Property Tax ID # 3402-609-0158-000-4)
(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.
u �
C N 1 CT )R SIGA ATURE (Quati ier)
Marcia C. Silva
PRINT NAME
31942
COUNTY CERTIFICATION NUMB�/`ER��
Stale of Florida, County of �NU_� ��/
The oregoing Instrameut was signed before nw this�y of
2� by
who 1, personally known _or has produced a
as Identification. —
STAMP
MEL155A MCLPpD
Notary W01,<-Siae cfP .r
`�
Commis GGO/r
•
EP
23
xPv 20
My [omm. xprtes!ox �3,
`v4'N—
ppplCA P¢uyY N:�IQr� N6ary All,
Revised 11/16/2016
AWAIR
SUB -CONTRACTOR SIGNATURE (Quatifler)
Michael R. Wayne
PRINT NAME
COUNTY CERTIFICATION ER
State of Florida, County of s I U F
The foregoing instrument was signed orernethlozztyf
Se- 1Afa,2,o?
.D byM)CV+AEL WYN
who Is personalty known _or has Produced S L DRIVE-_ Li 6�-_
as
STAMP
ALETHAWILLS
i ; .? Notary PuWk-Stateomorida
Re "J. CommI951on#GG119446
••.,w:,�• MyComm.FaPIMSAU91,2021