HomeMy WebLinkAboutELECTRIC SUB CONTRACT 5061 HWY A1A #206 PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
-I `- * I Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
q, L C__ have agreed to be
(Company Name/Individual Name)
the ELECTRICIAN Sub-contractor for FLORIDA SHUTTERS, INC
(Type of Trade) (Primary Contractor)
For the project located at 5061 N HWY Al A A206
(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.
if aS Z 6
CON OR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
THOMAS L PEASE
PRINT NAME ;1N)TNAME
COUNTY CERTIFICATION NUMBER COUNTY CIERTIFICAT N NUMBER
State of Florida,County of u���� State of Florida,County of c . ` -
The foregoing instrument was signed before me thisday of The foregoing instrument was signed before me this day oof. �
C N 20. by �� l.. C a S ,2�,by�— •�-�� 1��R t l`+�
who is personally known_or has produced a who is personally known✓_<has produced a
as identification. as identification.
STAMP �W STAMP
Signature of Notary Public rgna ure of Notary Public
Print Name I �ral�dx3 wwo�KW io'' .. Print Name of Notary Public
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Commission a GG 952084
My Comm.Expires Mar 20,2024
Revised 11/16/2016 5onded through National Notary Assn.