HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGRE EMENT
i
have agreed to be
"/ (Company Name/Individual Name),
the ELEGTRICAI Sub -contractor for .WILCO CONSTRUCTION INC.
(Type of Trade). (Primary Contractor)
For the project located at 17 MAJESTIC WAY, FORT PIERGE 1414-701-0170-000-8
(Project Street Addressor 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 advisedpursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
ROSERT WILLIAMS
PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of 'ST. LUCIE
The foregoing instrument was signed before methitZ day of
l , by2e�a-
who is personally known Vor hasproiiuced a
as
Signature of Notary Publid }
3a wn
Print Name of Notary Public
Revised 1.1((612016
DAWN FITZGERALD
MY COMMISSION ffRAW348
EXPIRES: December 17, 2021
Bonded Thru Notary Public Underviriters
S CONTRACTOR SI`G'N�ATURE (Qualifier)
PRINT iYr1ME
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COUNTY CERTIFICATION NUMBER
State of Florida; County of
The foregoing instrument was signed before me (hiss U day of
1 1 eD
,Ztf,,by La�
who is personally Imown _or has.produced a
aswent►ncanon �gFlY)�'. DAWNFIIZGERALD
k MY COMMISSION#GG 1E
Notary: Public `P� dy° Bonded Thru Public U w�
• Notary Underwriters
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