HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - ELECTRICALPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
{ SUB -CONTRACTOR AGREEMENT
RJS ELECTRIC INC dba ELECTRIC CONNECTION
the
(Company Name/Individual Name)
ELECTRICAL
(Type of Trade)
have agreed to be
Sub -contractor for HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 2429-604-0002-000-1 / TBD LEWIS ST
(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 of a Change of Sub -contractor notice.
CO RA OR SIGNATURE (Qualifier)
PRINTT NAME -
COLtNTY CERTIFICATION NUMBER ----
State of Florida, County of 5t .a'e-
The foregoing instrument was sig d before me thic2u day of
20&, by
who is personally known or has produced it
as identification.
Signature otNota ""`� STAMP
c
-- - sc.... _-
ry Public
Print Name of Notary Public
Revised 11/16/2016
Slit ('011 41t.V I t)It 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 221 day of
September 20_2_1 by Randy Sjaardema
who is personally known X or has produced a p�Ik-
a. tdeuti�i�nNonJ -�..- Y
}
STAMP
Signature of Notary Public
u SNYAN T BROZE W i
+ Notary Public -State of Florida
Shyan T Bromelow
Prim Namr of iNolary Public 4� " # GE' 263711 t
r i My Comm. Expires Oct 17, 2022 is
Bonded through National Notary Assn.