HomeMy WebLinkAboutSub-contractorPERMIT 0 :--�ISSUE OATE
V
ICOUNTy
F L O R I O A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CO,NTPACTOR AGREEMEr, r
Raceway Electtic, LLC have agreed to be
(Company NameJtndividual Name)
the Electrical Sub -contractor for Dona Smith & Sons Construction,=
(Type of Trade) (Primary Contractor)
For the project located at 3534-502-0071-000-8
(Project Street Adtims9 or Property Tax ID fl)
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
filing of a Change of Sub -contractor nod
CONTRACTOR si TURE 1 uaHfier)
PRINT NAME
COUNTY CF,RTIF7CATiON NUMBER
state of Florida, Coiaty of`
/The foregoing instrument was skpW before me this Z S day of
who Is personally known _or has produced a
as identification.
STAMP
Signature of Notary PWic
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rKM I NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing Instrument was signed m
lbefore e this y day of
_OZ 20.2 r, by Xdw/ /"., CG C.0
who Is personally known _or has produced a P L_
as WJentUkatba. (%�
STAMP
Signature of Notary Pn
Print Name of Notary Pubile
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
�COUNTY
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Kellett & Sons Plumbing INC
have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Dana Smith & Sons Construction, LLC
(Type of Trade)
(Primary Contractor)
For the project located at 3534-502-0071-000-8
(Project Street Address or 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 advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIG TURF ( ualifler) RACTOR SIGN (Qualifier)
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PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
_4�C , 2076 by
who is personally known or has produced a L
as identification.
STAMP
Sigaature o AANotary Pub c
Print Mkine'd Notary Pa
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Revised 11/16/2016
CF C ( Uzi-Zo('�r
COUNTY CERTIFICATION NUMBER /
State of Florida, County of
The foregoing instrument was signed before me this Cl"c-,"-day of
who is personally (mown �as produced a L ) i �i� l I i�
tty PO4#z JESSE DOSS
* Commission # GG 263069
Expires September 27, 2022
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