HomeMy WebLinkAboutAPL ELPERMIT # ISSUE DATE
COUNTY
FLO
RI
D A-40
Goldstar Electric Inc
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Bela Vista Contractors, Inc.
(Primary Contractor)
For the project located at 5608 Palm Drive, Fort Pierce, FL 34982 (Property Tax 1D # 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.
0"*
&4
CONT CTOR SIGNATURE (Qualifier) Zri
C NTRAO
Ma cio C. Silva Cavnar
PRINT NAME
31942
COUNTY CERTIFICATION NUMBER
State of Florida, Con nty of BroWard
The foregoing instrument was signed before me this 30thday of
June , 20 21, by Marcio Silva
who is personally known X or has produced a
as identise.Q.."- /
STAMP
4�Wnaitu9le of Notary Public
Hudson Lopes
Print Name of Notary Public
: L HLOSON LOPES
1wtY CD PIKES J ,k+iy I� 134778
EXPIRES: 7, 21?25
BMW Tin NOWW Pubfe tl wwril"
Revised 11/16/2016
PRINT NAME
(Qualifier)
23575
COUNTY CERTIFICATION NUMBER/
State of Florida, County of
The f regoing instrument was signed before me this�181 of
,2QIby �O�l� C 4KAJa-�
who is personally know le —or has produced a
aside . ication.
ISTAMP
ig�l f Notary Public
rint Name of Notary Public
KCOLLEEN KENNA
�L ry Public, Slate of Florida
mmission# GG 253717
Rt=Mmm. expires Sept.14, 2022