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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT 3 � I PERMIT ISSUE DATE ' (I Building & Coble Compliance Division BU'JL J I%,; 3'ER(i 11' ADVANCED BUtCTRICAL.5YSTEMS, INC.. w_ 1t vt agreed to be ttxe Electrical Siib-collttac-tear fc�r,revard Grouting Service LLC (Tyne of t r`id4) _ (t'rhizttt y contmtov) For the;project t6caied at 2000 Industrial 33rd''St Fort fierce rL 34946 (Project Street'Ad.dress or Property Tax ILA I.t is Understo©d,that, if there is any change(if status re-artlin{g our participatiot ,with the above x oritionecl project, the,Bu lding'and Code Regulaiioji,Division.of Si.Lucie County will be advised.pursuan,t-to the filia'g of a Chan ,e; f Sub-contractor notice.• CCBWRA R Sits_' TURF(Quulilier). S B.::L?t\TRA rL3€2 SiGINA1 U, E<(Qusli per) David A Rit ks Robert Ogonowski a?t2INI'N,1 VIE ,tAatr; CBC12565 r 6 ECO003139 t:{)ct�?Y C:kaRTiF lCrl,llt)`e Ott"111ERl2 ¢w{)tINT 'isE;lfi`i[r <�TSI� <tiL14il ;12 Ste ii OTFIoritla,Cilonty Stsxte ofl"tariJ;I'C'arrnty o:_1;1_ 1 t_UGC - i The tyre%oing lnstrumn nt spas signedbefon In this (lay ttf The foregniiw lr;Arnment was'signed bi i)re rue this S �day of Ro Who Is pe rsionafly know11 or Im produced' �vhu is pa onall'y known!rsr€ans,pvodu ed-s ua ideittafx atFhn: s identification. signature-ofNot-aoTubllc Si natureofc"aotury Ublc 1W MACE NOTARY Pules C� Print Name of Notary Public _STATE OF FLORIDA III-jilt ti:;mc 01"N"ary public CormW GGM114 xpires 111612024 TONYAEDENFIELD MY COMMISSION#GG 219840 Reulsed lltiei!2fltE �' EXPIRES:May 20,2022 _,fir, erwritora Bonded Thru Notary Public Und PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES m Building & Code Compliance Division • s � _ BUILDING PERMIT SUB-CONTRACTOR AGREEMENT JCG Demolition and Construction Inc have agreed to be (Company Name/Individual Name) the Demolition Sub-contractor for Brevard Grouting Service LLC (Type of Trade) (Primary Contractor) For the project located at 2900 Industrial 33rd St Fort Pierce FL 34946 (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. CONTRACTOR SIGNATURE(Qualifier) SUB-C TRACTOR SIGNATURE(Qualifier) David A Ricks Jo Crawford Grove PRINT NAME PRINT NAME CBC1256516 RG291103923 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER /� State of Florida,County of_&�� State of Florida,County of 011A The foregoing instrument was signed before me this 2--day of The foregoing instrument was signed before me this day of /Y1,LiL.]Sl ,20�L by 1.4 Vd 11-yy1--L'&,,AA � Z_LfT ,20&by ,"./jyVAJ /AAGyZ' who is personally known or has produced a !'L �J .L. who is personally known or has produced a YL as identification. as identification. STAMP —' STAMP Signature of Notary Public Signature of Notary Public TIM MACE TIM MACE ST NOTARY PUBLIC ��(/[A� `� NOTARY PUBLIC Print Name of NotaryPublicWNCE10 STATE OF FLORIDA ATE OF 935114FLORIDA Print Name of Notary Public � Ct3n1f�GG935114 Corrv*GG935114 Expires 1/16/2024 EA Expires 1/16/2024 Revised i 1/16/2016