HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
COUNTY
P L O R I D A
RK Electric LLC
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the Electrical SUb-contractor for
(Type of Trade)
have agreed to be
Above and Beyond Developing, Inc.
(Primary Contractor)
For the project located at 3505 S Indian River Dr, Fort Pierce, FL 34982
(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.pKa 9fiiangeofXb-contractor notice.
SIGNATURE (Qualifier)
PRINT NAME
C'6 1530e3)
COUNTT CERTIFICATION UMBER
State of Florida, County of
The fo a oing i strument was signe before me this day of �/
+ 2�/ by e
who is personally known _or has produced a
as identi � li
STAMP
Signature of Notary ublic
Print Name of Notary Public
�,W &ft&k6 Notary Public State of I%odde
Melissa Wall
+� My Commission GG 115639
Fxplrea 10/0ti/2021
Revised 11/16/2016
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SUB -CONTRACTOR SIGNATURE (Qualifier)
? -
A.- Y
PRINT NAME
&C I add v off
COUNTY CERTIFICATION NUMBER
�State of Florida, County of a L l.�nIr
T foregoing instrument was si d before me th
2(4,bis A day of
y
aho is personally, known _or has produced aari'w 1 a Wt
as idenlificalion.
M,
S"rA M P
Signature of Notary Public
Print Name of Notary Public
oW PO Notary Public State of Morlda
+° Melissa Wall
,p My �Commission GG 115639 Expires 10106f2021
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