HomeMy WebLinkAboutElectrical Sub Agreement3 10 a
PERMIT # � t C)c) � e I ISSUE DATE ,, _... I
Y
PLANNING & DEVELiOPMENT SERVICES
Building & Code Compliance Division
Company tiameifndividual Name)
(Tvpe yof Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor t'(,)r bev<a n b-
Wrimar-vContractor)
40
have aur to be
►�v► ISJ►1
For the .1 r�'ect located at 6 9 � �e�` � __
P
{Project Street Address or Property Tax ID #}
it Mis understood that, if there is any ne status regarding our partic tp ti n with the above mentioned
project, the Building and bode Regulation D'[N-ision of St. Luce bounty will he advised pursuant to the
filing of a Change of Sub -contractor notice.
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PHI N\�iw E-;—
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State of HoredA, County of
The foregaing instrument wits signed be( ore me this d-my of
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who 1-i personmily know u �or has Fr due-ed a
its identification.
tatoe� V,
ipua tore or Nolary Public
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Peat pia mt of Notary Pub1
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STAMP
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PRINT ANIF
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The foregoing in,0rumenI s% sign-cd he fore nee I is da v of
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who Is er3on& o%n )(or his produced a f= L D L,
as ide a#ific2 tion.
Signature of mar% Public
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ristmr n[ \olon Public
td 1.81f r)l Floi,de-Notary Public
#- or�micssion Expires
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RI TII A MATHISON
Notary Pubtr , State of Fl&dca
mommissiong GG 913030
MY comrn- expires Sep_ 28.2023