HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ERICSSON / FRANK KISEL
(Company Name/Individual Name)
the ELECTRICAL
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIV9
APR 2 9 2021
ST. Lucie County, Permitting
have agreed to be
Sub -contractor for ERICSSON / STEVE NICHOLS
(Primary Contractor)
1100 DYER RD, PORT ST. LUCIE, FL 34985
(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.
CON R SIG TURF (Qualifier)
PRINT NAME
C_C�C ICI '2)a3 T
COUNTY CERTIFICATION NUMBER
State of Florida, County of bit Ae
The foregoing instrument was signed before me this i day of
201`.by
who is personally known or has produced a
as identification. 1�
Signature of Notary Public
A -me l (_me
Print Name of -Notary Public
#V PVo Notary Public State'of Florida,,
°, Angel Rivera
My Commission GG 121794,
Revised 11/16/2016 °r0: Expires 10/2412021
-N— v
SUB -CONTRALTO SIGNATURE (Qualifier)
�--' rU„K lace(
PRINT NAME
Ec 1300 9y9'�D
COUNTY CERTIFICATION NUMBER
State of Florida, County of &` e
The foregoing instrument was signed before me this ) a day of
Ae\( 1 , 202 � by �fo-,n1C V.
who is personally known _or has produced a
as id tification.
STAMP
Signs ure of Notary Public
r ,2%ve�a
Print Name I& Notary Public
,.yx %, Notary Public State of Florida
r° K1, Angel Rivera
My Commission GG 121794
lF F�°�' Expires 1012412021
STAMP