HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
COUNTY
I L D R I D A
Godfrey Electric, Inc.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for Armor Screen
(Primary Contractor)
For the project located at 1815 NW Buttonbush Cir.Palm City, FL 34990
(Project Street Address or Property Tax ID #)
have agreed to be
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 SI A ( alifier),
PRINT NAME
CC7CJ5aaggo
COUNTY" CERTIFICATION NUMBER,/�
State of Florida, County of _ t A4 �Ja":�:v�y `�
The foregoing instrument was signed before me this L a�daly of
S ►o; �E�' a ! by JC,eaiv FiSC141 %�
who is personally known Ior has produced a
as identification.
STAMP
Signature of Notary Public
Print
__5'ti�v21G
,N►+ N Notary Public Stets of Ronde
Richard A Shores
my Commsmion GG 153884
Expires 11111=1
Revised 11/16/2016
r a&d �- XJe
SUB -CONTRACTOR SIGNATURE (Qualifier)
Albert A Godfrey
PRINT NAME
EC 1300 4715
COUNTY CERTIFICATION NUMBER
State of Florida, County of_guft7
The foregoing instrument was signed before me this 17 day of
20�, by
who is personally (mown 1---br has produced a
as identification.
STAMP
ignature of otary Public o :.... Z, BARBARA D MOLINE
Commission # GG 166267
�A.r� I1 IY)nr�Ee�sxpApn17,2022
Print Name of Notary Public udgetNotary Sences