HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # Z10 6 033F ISSUE DATE 6 /'/ — 2-0l
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Race Way Electric
(Company Name/Individual Name)
the Electric
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Renovation Technologies
(Primary Contractor)
For the project located at 9, Od S. (xewo or 3e✓ so" -6c/gcl, FL 3yps-z Uhl 400
(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.
GG C' c �-zZ_634
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sf L&;Ce
The foregoing instrument was signed before me this 26 day of
u h ei , 20 �by bC!'f II4C *#1S ^: e,
who is personally known N✓or has produced a
as identification.
%—
g ��
Signature of Notary Public —
V&A0+IaP Og4 d$t-s
Print Name of Notary Public
SUB -CONTRACTOR SIGNA URE (Qualifier)
/" /49U
PRINT NAME
EQ- I30 1 bo 1,9
COUNTY CERTIFICATION NUMBER
State of Florida, County of jr , 1"0C C_
The foregoing instrument was signed before me this ?- f-day of
,tJ✓l ti , 20 21, by P4f>0#0' RA4 G
who is personally known, �/t_or has produced a
as identification. J
STAMP /t/
Stinature of Notary Public
%lcrlw�i� A�i4 -b
Print Name of Notary Public
�J� w` •., RONALD JAMES NARBUTAS
`I Notary Public - State of Florida
Commission # HH 028442
a n My Comm. Expires Aug 5, 2024
Revised 11/16/2016 Bonded through National Notary Assn.
STAMP
............ RONALD JAMES NARBUTAS
' 1"�`• Notary Public -State of Fiord
Commission # HH 028442
J1.
My Comm. Expires Aug 5, 2024
Bonded through National Notary Assn.
PERMIT #
OUNTY
L 0 R I D A
ISSUE-,DATE
NING& DEVELOPAMNT SERVICES
Wilding &C66 Compliance DivIgion,
PERMIT
AA6"EMftNT'
have agreed. to, be
the Sub-icontractor for
(Type of
(PnimaryConfractor)
For the project located atS.
{Project street Or Pt'
operty Tax I,D,#)
.I 16.s understood that, if there is any change of status regarding- our participation with aboveth'e'in6ntiqned
project, the Building ,and : ode Regulation'Division Lucie of St. 1-uc6 County 'will be advised, pursuant to the:
filing, of a Change, of Sub -contractor no ticel.
PRINTWAME
Fc t %R:R 10, 1L(
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER
State.6f Florida', County-f- S4 k!2ae, state v(F1orida,_County.6f 54 1- ie
The f9regbink instrument eras signed kotori
_4aethtsZ�#yot The fo
,reP109 instrument w0s,sigoalbefore methIs_ day of
20ZIy 9s4�20g,by JPWho N I*rsonally ImownIX-1, has prodikedo yvhob Orsonally Wew9efor hasproduced a
as ideotiilca'don.as identiftadoin,
4- L STAMP.
Signature ofN6tary,PhbHz 1 store of No STAW
Print Nalfie of Not4kr Pfiblic
'y
'PrintNime O0qOt'w_7Pub1l;
L4 R NALA, 'S NA�RPSUVTTAS, ROWD iAks oasuus
Notary public state of fiodda 'Notary .Public -'.State Of 'Florida
ZO!n(nl55fOn'#1Nil 02842 F Commfs51O64 HH 028442
Y Gomm, Ex'pir-ps"Aug 5'-2024 Y Comm, Expires
4491, 2014
Revised 1-1,116/2016 8ondei t rOJU8lh NatJ40al:NotarVAss I n-.;: 'thro,09h 'Nota
ry:Assn.