HomeMy WebLinkAboutLot 28 - Electric SubAgreementPERMIT # ISSUE DATE
COUNTY
IFLORIDA-46
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�1 �D�ti�L ��✓t+C�S�
(Company Name/Individual Name)
the G (�
(Type of Trade)
;?�Anzwl „' have agreed to be
Sub -contractor for PA
(Primary Contractor)
For the project located at L0 p?W 119
(Project Strect 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 Change of Sub -contractor notice.
ON ACTOR SIGMA-rURE (Qualifier)
PRINT NAME
3Z56?
COUNTY CERTIFICATION NtrMBER
State of Florida, County off A2LLe
the foregoing instrument was signed before me this day of
20Zk, by 4- j r r"r-,J(�L,1
who is personally known ✓r has produced a
4'di tcation.
STAMP
re of Nota Public
V�CVVNL
Print Name of Notary Public
El
JEW81FER DAVERSA
Notary Public • State of Florida
Commission # HH 056351
My Comm. Expires Oct 22, 202a
Revised I I/ 16/2016nded through National Notary Assr.
SUB- TRACTOR SIGNATURE. (Qualifier)
PRINT NAME
31Sf7c;)—
COUN rY CERTIFICATION' NUMBER
State of Florida, County of�/�
The foregoing instruments was signed before
me thhiiiss�//j�rday of %
T 2 1 byJ'Y Ke4AW/ /J
who is personally known Xor duced a
as i n leaden. ,
STAMP
Signature of Notary Pu is
Print Name of Notary Public
R
Notary Public State of Florida
Kimla J SimoneMyCommission GG 957803ExPires 05/1812024