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HomeMy WebLinkAboutELEC SUB PERMIT# ISSUE DATE A PLANNING & DEVELOPMENT SERVICES I J11., Building & Code Compliance Division 9 � BUILDING PERMIT SUB-CONTRACTOR AGREEMENT RJS ELECTRIC INC DIB/A ELECTRIC CONNECTION _ have agreed to be (Company Name/Individual Name) the ELECTRICAL Sub-contractor for HOMECRETE HOMES INC (Type of Trade) (Primary Contractor) For the project located at 3409-505-0014-000-5 / 1408 LONE PINE DR (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 ZNNTRAC f a Change of Sub-contractor notice. �i R SIGNATURE ! (Qualifier) SI'If C O�I It-WI"I Oil SIGNATURE(Qualifier) jC o Z dai V Randy Sjaardema PRINT NAME PRINT NAME _o `T`t'SJ'._ 21055 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of St Lucie State of Florida,County of_ ----------_, The foregoing instrument was signed before me this tE day of The foregoing instrument was signed before me this 16 day of _ ntbotv 2Q,by -R - C �_- August .20 a1 by Randy Sjaardema who is personally known 1Z.1;has produced a._ who is personally known_or has produced R p/k as identification, as identification. Signature of Notary Public Signature of Notary Public Lg U rry �, Shyan T. Bromelow Print Name of Notary Public Print Name of Notary Public �qO►u. Notary Public State of Florida ; S{rati i FROM_ OW Melissa D Showman cY My Commission GG 294495 �' �' to of Fiaride p c :263711 ^ "i ER irr Cc, 17,2022 'rnra Exptres0ll24/2023 Revised 11/16/� a�s !'tK ti„i,rf 1S>n,