HomeMy WebLinkAboutSub, Electric PERMIT# ISSUE DATE
. PLANNING & DEVELOPMENT SERVICES
`' � - :I - Building & Code Compliance Division
p RECEIVED
�.. _...- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT JUL 1 2021
St.Lucie County
Permitting
Goldstar Electric, Inc. have agreed to be
(Company Name/Individual Name)
the Electrical Contractor Sub-contractor for
(Type of Trade) (Primary Contractor)
I
For the project located at 9101 S. Indian River Drive, Fort Pierce, FL
(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
I
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.
C CTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
L/e4�j � � John Cavnar
PRINT NAME PRINT NAME
32390 I 23575
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of �tQG�Q State of Florida,County of Si- Lutil,�
The foregoing instrument was signed before me this �s day of The foregoing instrument was si ned before me this day of
�If ,ZOZQ by C V S 207 by
who is pe ally known W.."or hias produced a who is personally known� or has produced a
as id ation. as identification.
G STAMP
Signature of Notary Public Signature of Notary Public
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Print Name of Notary Public Print Name of Notary Public _
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LARA CANUTO :_ tt
NOTARY PUBLIC s
STATE OF FLORIDA d
Revised 1 l/162016 i Comm#GG917792
sVE 1% Expires 9/30/2023