HomeMy WebLinkAboutSub Contractor form.IPSTY
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PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
BUILDLNG PERMIT
SUB -CONTRACTOR AGREEMENT
Ericsson, Inc/Frank Kisel
(Company Namettndividlzal Name) have agreed to be
the Electrical Sub -contractor for Ericsson, Inc/Steve Nichols
(Type of Trade) (Primary Contractor)
For the project located at 13698 INDRIO RD EXT
trroject 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
ding o Change of Sub -contractor notice.
C CTOR SIGNATURE (Qualifier)
ONTRACTOR SIGNAT (Qualifier)
Steven Nichols RINr NAME m'non bmif- V n�
rMNT�
IRVIA1L I61311
UJUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION nNUNWER
State of Florida. County of Lake o QLE
State of Florida, Corcnty o£sLM I //�� � The foregoing instrument was signed before me this 24 day of The foregoing instrument was signed before me this Z_'Tday of
,June 20_ by Steven Nichols V {<�— 29(, by 5 AWAFiti'T44A rfA:C—rJ
who is personally known ,or bag produced a FL DL who is pe a y kuo _or has produced a
as identification. as ide tifieatiion
A
ASHLEYL D i,Nv SrAr2P Signature of?$ntary Public _;. W COMMISSION# HH 082913 Sig tore of Notary P. is
EXPIRES: Janaary 20, 2025 I ,
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rintNam of Notary Public Print Name of Notary Public ;o Y Notary Public State of Florida
Evan David Wong
ae MY Commission GG 350394
�'i or nod Expires 07/01/2023
.Revised 11/16/2016
Limited Power of Attomey
0
io- 0 RefervKt;GFjAe0x")tuen
ERICSSON AtW49V 10 tilis MtteC MANA Nthwrk Build & opmte
Contractor's Limited Power of Attorney
June 18. 2021 State of Florida
1, Frank Kisel of Ericsson Inc., as Delaware corporation, hereby name and appoint Samantha
Green of Ericsson Inc-, a Delaware corporation, *,a be my lawful ottorney-in-fact to act for
me to apply for, receive, sign, and do all things necessary to permit this appointment for oil
electrical and contractor permits and contractor applications submitted by this contractor,
This Limited Power of Attorney Sh011 automatically expire on December 3t 2021.
Frank lCisel
Contractor License No.: EC13009490
Ericsson Inc.
WmXadn�thoGree-
Ericsson inc.
STATE Or TEXAS
COUNTY OF COLLIN
Sworn and subscribed tome before thi3---z—+doyof.-M� 2e21byPrank Kise1by
means of legal idle �tfffjcation and/or who is personolt n t e
Notary Pub i Notary Public State of Florida
49
�jf 1� Evan David Wong
My Commission GG 350394
Notaly Seol- NOF Expires 07/01/2023
Sworn and subscribed to me before this day of -Jtl� 2021 by Samantha
Green by means of jegal identification and/or who is personally known to me.
Notary Pubji
NotarySeal
56awlm
KANA Networks — Build a opemte
630 Lnocy Drive
ftnoTexas 75024
USA,
'� Yof &N Notary Public State of Florida
.Y. Evan David Wong
My Commission GG 350394
-�-O' Expires 0710112023
EE]
Tel: (972) 583-OM F0050nik- (972) 583-1839 ericsson.c=