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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ELECTRIC CONNECTION/Randy Sjaardema
(Company Name/individual Name)
the ELECTRICAL
----.._..__----
(Type of Trade)
have agreed to be
Sub -contractor for HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 5403 DEER RUN RD / 1313-502-0037-000-3
(Project Street Address or Property Tax ID ti)
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
filinbaChange of Sub -contractor notice.
CONNATURE (Qualifier)
PRINT NAME — -- ----
c)g46
COUNTY CERTIFICATION NUMBER
�
State of Florida, County of L L ult
The foregoing instrument was signed before me thi<A�_ day of
_• 2Q, by
who is personally known or has produced a
as identification.
. STAMP
Signature ofNotaAry :;411�-
Print'Name of Notary Public
REE
tate of Florida
owman
n GG 294495
023
OF
Revised 11/16/2016
ti t-f 01'1'12FOR SIGNATURE (Qualifier)
Randy Sjaardema
PRINT NAME
21055
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 20 day of
September .2o21 by Randy Sjaardema
who is personally known X or has produced a plk
as 1/11`tlllfi' tn.
STAMP
Signature of Notary Pu t n'
Shyan T Bromelow
Print Nju"c,0 Nolary Public
HYAN T 8ROMELOW J
Notary Public State,-'
Commission 7 Florida t
t GG 26 71 ;
My Comm Expires Oct
f Bonded through Na022
�,, - 3 a ions Notary Assn. ,,