HomeMy WebLinkAboutSUB PERMIT APPPERMIT# 12106-0030
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUELDING PERMIT
SUB -CONTRACTOR AGREEMENT
CUSTOM MECHANICAL INC.
have agreed to be
(Company Name/Individual Name) i
the ELECTRICAL Sub -contractor for
(Type of Trade) (Pr niary Contractdo
For the project located at 288 N. FFA ROAD
(Project Street Address or Property Tax
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.
ki 61 e �J —
CONTItAtTOR SIGNATUftE lineA, flt
PRINT NAME I'
COUNTY CERTIFICATION NUMBER ,�
State of Florida, County of& h The foregoing Instrument was signed before me tth�issAEL day of
'- 20Z by &l M
Who is personally known X-or has produced a
�,A'r Notary Public State of Florida
Karen P lamb
y;, a MyCammllienHH085284
''ors Expires 11118l2024
Revised 11 1 01
S� ONTTRACTOR SIGNATURE (Qualifier)
,DAI//o k
PRINT NAME
-e-4--la®O P119 i c
COUNTY CERTIFICATIONN NUMBER
State of Florida, County of/&m
The foregoing instrument was signed before me this day of
- y1�.k2 , 21 , by Aid,-! O�nyS t�
who is personally known Jfor has produced a
as Identification. `-
STAMP `...,.,J,/ �-„" �. - STAMP
Signature of Notary Public
&0/14r ew-'r
Print Name of Notary Public
Notary Potllo State of Florida
Danielle [iarone
LVKAA�
MyCommi'el" GG 310950Expiroa 0312312023