HomeMy WebLinkAboutSub Contractor FormPERMIT#ISSUE DATE
PLANNING & I}EVELOPMENT SERYICES
Building & Code Compliance Division
BLILDING PEITI,IIT
SL! Tt.CON'IFLTf, TO R AGREEN{ENT
It/lomentum Solar have agreed to be
(Companl Name/l ndir,idual Name)
the Electrical Sttb-contractorlbr [IatthewFranz
( Ilrimarl Crrntractor){'t'}pe of Trade}
For the project located at 2809 Placid Ave Fort Pierce, FL 349-82
(Pfoject Street Address or Propertr Ta\ ID #)
It is understood that, if there is an1'change of status regarding our par-ticipation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County rryill be advised pursuant to the
tiling of a Change of Sub-contractor notice.
rfnfr# l-
CO|\-I'R,\{l l OR Sl(;\.\1'LRE (Qualifier)
Cameron Christensen
Sr=pdilrlEv-1on n")F ({)uBlificr)
Matthew Franz
PRI\T \.\1IE I'Rh*-I'N-^!IE
cvc57036 EC13AA8217
COI]\T1' CT,RIITtC,{TIO\ \I:\IBER
Stnte of F lorida. (;ount1' of St. Lucie
Th€ foregoing inrtromnt was signed before me this 1 1 day of
COtiNTY CER'TtI.'ICATI{)N \Ti}IBf,R
-ltate of Florida, Countl of St. Lucie
'l'be forcgoirg irstrumtnl l'as signed hefore nre ttris 1 1 day of
October zo 21.6t Cameron October 26_21, tv Matthew Franz
who is pemnallr ltnon'o -f,or has produced 4..,__ __
as identification,
who is prmonall) kDoso _Lor has prorlur:ed a
as identification.
STA]IIP ST.{}.IP
Public \olart
Kristina Salgado
Print f*ame of Flster.v Peblk
.{fl.:i% KR|STTNASALGADo
_ "SA6 * Commission#GG922215
Eh$ry-". Expies Juty 21, 2Q24
n"ip+.At?it o,z{f8" Thru BudgetNorary seryic€g
Kristina Salqado
Print \ame of lotary Public
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KRISTINA SAt6AT}O
Conrmission # GG 9i??15
Expires July 21, 20?4
Booded Thru Budget Noia:ry Sd,1id{ic
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