HomeMy WebLinkAboutSub-Contractor Agreement ElectricalRERiVfiT #
Ed's Electric
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Wvw
have agreed to be
(Company Narnefin€iividual Name)
the Electrician Sub --contractor for Palm Pool and Spa, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 9640 Fairwood Circle Port St. Lucie, FL 34986
(PrOject Street Address or Property Tax IL? #)
It is understood that, if there is any change of status rewarding otu particiepafion with the above mentioned
s����f h��flLucie �ou��� wll �e ad�i��� pursuant is theprol�ct,
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATUME (Qualifier)
Adam Hall
PRINT NAME
32242
COUNTY CERTIFICATIO NUMBER
06
State o Florida,Count-.
-41
The forecroing instrument was signed before ore thisday o
20
b
who rsonally known or has produced a
as
C(A
Siature of Natiry Puhlic
S c�
Print Name of N ry Public
Revised 1 1 1
TONYA S. GUEST
*Notary Public - State of Florida
Commission # HH 048045
o `# My Comm. Expires Sep
itbt�4it1
Bonded through National Notary Assn,
AM
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SUB-CONtkACTOR Sid-NATURt
PIING' N .MW
1
(Qqafifier)
I 079q,2
C - OUNTYCEWfIFICATION NUNYB_UR_
State of Florida, Counqr of C
I
The foregoing mistru meatwas signedbefore me thi Aay of
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kl(V& 20 Z b ' #{�
who i personally on o� r has roduced
as ��entfflcation.
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