HomeMy WebLinkAboutLot 20 - Electric SubAgreementPLANNING & DEVELOPMENT SERVICES
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" Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
W11A19;'R ve agreed to be
(Company Name/Individual Name) I /
the �/�, c Sub -contractor for
(Type of Trade)
6 6t(lz-r
(Primary Contractor)
For the project located at L-07- Jam_-1,51 0!01A/
(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 C a g ee of Sub -contractor notice.
SIGNATURE (Qualifier)
PRINT NAME
3Zmg
COUNTY CERTIFICATION NUMBER
State of Florida, County of—SL. I.AJ_'Lt'e
The foregoing instrumentwassigned before me this 1 day of
Q , 20Lt, by {tlrt�QVNeko tC,(
who is personally known --,6-rhas produced a
STAMP
;: �rRY �6F •.,=National
R DAVERSA
State of Florida
# HH 05635'
Revised 1 I; I !�(Fq,:ires Oct 22, 2025
3ononal Notary Assr.
'.
SUB-C TOR SIGNATURE (Qualifier)
Afi yN6 Zl1vm6V-mhTl
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of l_«I crfW-
The foregoing instrument was signed before me this / day of
who is personally known X or h o ed a
as identifkation. 11
Sigrfaiure of Notary PubliU
Print Name of Notary Public
Notary Public State of Florida
Y
Kimla J. SimoneMy Commission GG 957803Expires 05118/2024
STAMP