HomeMy WebLinkAboutPOWERS SUB PERMIT APPSPERMIT# ISSUE DATE
COUNTY
F L O R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERN11T
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Nante'Individual Name)
the Sub -contractor for /�K_x /�IGf�S_
(Type of Trade) (Primary Contractor)
For the project located at icf//
( Project Street Address or Properr!
/ A/R 3 • ,fD •paw ,3 • aao
Tat ID}
It is understood that, if'there is any change of'Status regarding our participation %vith the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be Advised pursuant to the
tiiin�, of'a Change of�Sub-contractor notice,
CO\ 1'R.1(TOR S1(:. A ITRE ( alinvrl
PRINT N.,mi.
cr.ad /4/s
COUN11' CERIIFICA r10N M \IRF 11
State of Florida. County of z AX�rl,-%
1'hc forefloing instrument %%as signed before me [his yday of
h,�9�F/G�IA/J
Mio is personally lemma V err hats produced a
as idendGcalion.
Signature f Nolam Public
Z_,00 14. DX/eo
Print Name of Nu[:in Public
Z;r Notary Public State of Florida
Lori A MoxkQy
My Commission GG 2801418
Expires 11l2312022
t
Re%iied II'Inw_a16
— /Z ___ �� __
N,
SI_B-CON 'RA( OR SICNATI : (Qualifier)
PRINT' NANIF:
C(H M1 CER'IIFICAIION Nt NIBER
Stale of Florida. Coun[y of
fhe foregoing instrument was signed before me this � day of
%%ho is persomUlls knot n 11"'iP'r ha. produced a
as identificalion.
Signalure ufAwaq. Public
.
Print Name urNoUur% I'uhlic
EKE
State of Florida
eyion GG 260148
12022
PERMIT # ISSUE DATE
F?97T7)"�
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
liwe a,,reed to be
(Compam NarneAndividual Nar e)
the ELECT-ole Sub -contractor for
(Type or Trade) (I'rilrru� t'untractur)
For the project located at 9// 7W CIL�S4/7 A/J} Z
(Project Street Address or Property I'ax ID H)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Dil•ision of St. Lucie County will be advised pursuant to the
Filing of Change of Sub -contractor notice.
('O\TR.1(-rOR SIGN. I'1 RE. IQua rrr)
AW FI NHM
PRIN��
('01 N rl' CE:RTIFICATION Nt 111IER
State of Florida. Cuunir or 71 /
the instrr mcnll 1%as siznrd (before me This _& 6% of
tisho i. pererrnarh ):noun ur ha+produced a
x. idcnliGrution.
SF%NII,
Signalurr of ii arc Puhtic
Z_ a,-r• 14.
eWe
Print Name of Notary Public
yar Notary Public Stale of Florida
Lori A Mox1ey
My Gommiss+on GG 280148
poi tip Expires 1112312U22
tit-B-co,yi-if+7oR SIC\: 1"1'RE (Qualiricr)
PRINTNAME
E�oc�oa707
COUN-11 CERTIFWA[ION M NIRE:R
Statc of Florida. Count} ofTli
fhe foregoing, instrument nas signed before ntic this
d/t da} of [�
cretirl
aho is persomdl} Limn V err has produced a
a. idcnliricalinn.
STAMP
Sianalure ofN ary Public ,
L.0 X ox/�
Print Name of Nolan Public
Notary Public State of Florida
Lori A Mox!oy
MY Commission GG 280148
Expires 11!23/2022
Ke%1,ed II Inr_'1)Io