HomeMy WebLinkAboutSub-contractror agreement , electric PERMIT # � ISSUE DATE
PLANNING &c DEVELOPMENT SERVICES
Building &: Code Compliance Division
BUILDLNG PERMIT
SUBCONTRACTOR AGREEMENT
Ericsson, Inc/Frank Kisel have agreed to be
(Company Nam&fiidiYidual Name)
the Electrical Sub-contractor for Ericssont Inc
C rypc of Trade) (Primary Contractor)
For the project located at 1112441 -0001 -00M
(Project Street Address or Property Tux ID tf)
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
film; of a Change of Sub-contractor notice.
CD�Uslgncd by
ONTRACTOR SIGNATURE (Qualifier) wDocySlqaed by CTOR SIGNATURE (Qualifier)
Steve Nichols Frank Kisel
PRINT NAME PRINT NAME
ii
32301 32300
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of
Seminole state of morido, County of Seminole
The foregoing instrument was signed before me this 22 day of The foregoing instrument was signed before me this 22 day of
April 20 21 by Steve Nichols April 20 21 by Frank Kisel
who is personally Imowu 2 or has produced a who is personally known X or has produced a
as identific h
�dt�t9�n(etlI)bLY�
T
�� STAMP
STAMP i
Signaturedfi� lr '� lic Signaturea otary Public 8
Evan Wong EVAN DAVID WONG Evan Wong EVAN DAVID WONG
Print Name oFNotary Publ ry PilbliG=Slate of Florida Print Name of Notary Public O afy u6li`c-State of Florida
Commission # GG 350394 Commission # GG 350394
Commission Expires 7/1 /2023 Commission Expires 7/1 /2023
P!
Revised 11/16/2016
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