HomeMy WebLinkAbout120 Blue Grotto Subcontractor ELECPERMIT # ISSUE DATE
PL NNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
lCom an Nametlndividuai Name)
the me C Sub -contractor for if `F.aN'ar' b415 fie c 0-�5;yw-e5
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street .address or Property Tax ID -1
It is understood that. if there is any change of status re,arding 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 Chaao,-,u,)-
TLontractor notice.
J
ONT -ii . - --
PRINT NANIE —
/ J
COL NTlERTIFICATION NUMBER
State of Florida, County• of -
The foregoing instrument was signed before me this Y day of
)VOOeMLeC, 20a, by _. S OIWf-G_� LA i rC S
who is personally known has produced a
as identification.
STAMP
_ig ature of Notary Public
Print 'ame of Notary Public
ALICIA PHILLIPS
Notary Public -State of]FloridaCommission N HH 3My Comm. Expires Aug Rev;sed 1! ;16/2016Bonded through National Not
Cot Yr1' CERTIFICATION . l NIBER
State of Florida, County of —
The foregoing instrument was signed before me this -I day of
--)D}Z. 20 Eby C D �AL -W
who is personally known or has produced a
as identificatioq,
Signature of Notary
E BEN V UGHN
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%W, 5 a -ITot2ry , u b
' co—rrnlssloR P GG : 700?9
,•..,, - i�ttn!i car �i2, ?. Ct7r
STAMP