HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
i
U F r).A T
PLAN'NINC,x & DEv_F
L0 I IE N r S
I RN•tc��:
Buildiing & Code iC-,���li�nce 1)ivisiort
1BIlL1J1:YG PERM 11'
SUB-(_0N'1-R,A('j-()R •\GRN:Fa'Yl11:N"7
r
(DC c-AG. n C,
, � r. i Lll�s
Name rive atsrced t.die. Electrical
HI Olin Wayne
(Tvpe k-)!- Trade)
Fc)r the pro- wated at
ject h
- tip'„•. +a��-.. .yam .
TAM
Mid U-i � S
IV
Notary Public State of I
>�' do . , VK,
MY Cc,
6189 US1 Forst Pierce, FL 34946
1 Project stak_i .Vl�Iress .L-) r Prt1periv Tax 11) tii
It undcrs o� is -
R. statusreyardi our parti"c*
i pan
i. n C
Pr-illeCl- file BUdding, and ("'ode e 1 FI
1,,tic*c . County
filing oa Chang ; ot '�Uh-contractor jwtice.
PRINT NAM
State of ' hwide. V0u ntv o
4
'The rolreguing instrunitut V%,31', S)F.Ued herfire Int tills
_bit, 100_
At:
011.
Public
7
4w P
Not<'ry Public State of Florida
#�� Plol
Expires / 712 2�. •, .'
•
AMF
as hirwifivalwil.
jox�en�-
*r sign-ed beforeine this �jv of
4 4