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Brandon Blais Electric
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERIMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Electrician
(Type of Trade)
Sub -contractor for Snyder Plumbing
(Primary Contractor)
For the project located at 3205 Live Oak Lane Fort Pierce, FL 34981
(Project Street Address or Property Tax 1D #)
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)
PRINT NAME
,._
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
by
who is personally known °� or has produced a
as identification.
ot
Signature pf Notary Public
Priname of Notary'Public
2��
SUB -CONY CTOR SIGNATURE (Qualifier)
Brandon Blais
PRINT NAME
30169
COUNTY CERTIFICATION NUMBER
State of Florida, County of Indian River
The foregoing instrument was signed before me this 13 day of
August , 20 1 , by 4
who is personally known '�_or has produced a
as identification.
STAMP ,rt/U" c- L� __ V 1,..1/'GC ,�-{' STAMP
Signature of otary Public
Print N e of Notary Public
'� VIRGINIA M BRIQGER
Public - State of Florida
Commission HH 115773
r°a MY Comm. Expires Jul 17, 2025
Bonded through National Notary Assn.
VIRGINIA M BRINGER•
F80nded
Notary Public • State
Florida:'`'�G`Commission
of
HH 115773Notary
MyCamm,t:xAires Ju! 17 ZOZS
Revised 11/16/2016 throe h National Not Assn.