HomeMy WebLinkAboutelectric subPERMIT # I ISSUE DATE\
PLANNING & DE,VE1,m)NIENTSERVI 'ES
Building & Code ('olliplialice Division
UNTY
nun,DING PP Rnfl 1
suR-CONTRA("TOR %t:ttl I NilvI
� t have agreed to be
the £� Gc— • 'e�.t, _Sub c„nlractor for
(Primary Contractor) 4
For the project located at _ 7 7/ 1 W f n! T C t G f
(Project Street Address or Property Tax ID #)
it is understood that. if there is any change of status regarding our participation with the above
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to
COL NTN CERTIFICATION NUMBER I� ] p
State of Florida, County of �T f-VVt/!V
T�he�foregoin instrument was signed before me this Li/ day of
1- 0' 7- . 2q(hy -- _ _ —
who is personally known —or has produced a
as identificauun. q
Sig a or�,,, ic
Pn t ♦ame o otary Pu -
a�pTHERNoiubbli
'HEAa 213
State of FlofdqGG183
misslon Explfes
Com
MY 1 2022
5.
Revised I I/ CommfuBfV (15,
P
SUB -CONTRACTOR WGNATURE (Qualifier)
PRINT NAME
6(t VT\' CERTIFICATION ?iUNIRER
State of Florida, Count} of
The foregoing instrument was signed before me thisday of
jWV
Y by
who is personally known _or has produced a
as' ntificatiou.
STAMP S I'A.%IP
(;g�ialre of .Notary PublillG�rlC. -- G--_
Print Name of NotaryPublic
by ��
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