HomeMy WebLinkAboutSub form, electricPERMIT # ISSUE DATE
Vil
CUI-r
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
JOSPEH KENAN FRICK
(Compmty Namdlndividnal Name)
tile- ELECTRICAL
(Typo of Trade)
n have agreed to be
Sub -contractor for DENNIS ZACEK
(Yrimary Coa rotor)
For the project located at 1 13 � _ V,1at&Oko AVM
(Project Street Addmas or Pt4itty Taw` 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 pustuant to the
filing of a Change of Sub -contractor notice.
r-D+
CONTRACTOR SIGNAT . - er) — C:`Q8 sirrruerlraE (Qo,tleer)
DENNIS ZACEK JOSEPH KENAN FRICK
PRINT NAMt
CMC1249753
COUNTY CERTIFICATION NUMUM
state ofFlorido,Countyof. LUCIE
The forepoinj hntrusamt was skpW before me tits day o{
6GW m;A br DENNIS ZACEK
who is personally tmown )Lor has produced a
as idea tle
slaMatrre o(Solm hwe
MIRANDA GILLIS
Print Name of Notary Public
EC13008558
cotfimx1<
State of fswwa, Cent<q of ST LUCIE
The fwcp g Instrument was dSud hefora we" )_ day of
njZ by JOSEPH KENAN FRICK
wbo is perloeally kpowe)�_or has prodeeed a
a: idwtlRntiam
STAMP
Sipoaftm of Notary Pubut
MPANOWiiIlUS
Revised 11 16R. 016 �;
vEXPIRES: Se11ET WW 23. 202A4
� bonded Tlsu Hatay PuDle Widuwllets
MIRANDA GILLIS
Print Name ofNotm PMb8c
STAMP
MIR,Wph l,
wee• '�Jg
•r
Ey
► 2024
Bor.
M ANDA 13UM
W COMMMION B HH 04510
EXPIRE& SepWmba! 23, 2024