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HomeMy WebLinkAboutATC FL_Subcontractor Form St. Lucie County PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES COUNTYlRi Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Advanced Communications Technology / Pavel Redko have agreed to be (Company Name/Individual Name) the Electrical Sub-contractor for Pavel Redko - EC13007510 (Type of Trade) (Primary Contractor) For the project located at 1201-111-0002-000-5 / 13698 Indrio Road (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. CON GNATURE(Quatitier) SUB- R SIGNATURE(Qualifier) PRINT NAME PRINT NAME �D(eLR �O[eff� COUNTY CERTIFICATION NUMBER / COUNTY CERTIFICATION NUMBERO State of Florida,County of Tc vYl QjF4a r.� State of Florida,County offWiNM 6-n44 (,.y The ffopyyprego�mg irnstrument was S. (emit befo_r(e'me this l±/'�"✓fay of T foregoing instrumen�tfwas siP�, efor(e�me(//[hllllllis�((V41ay of Ol.ntir+"f" 20 2S by C `^ 1 \�Vf0 " ,20 y by TGL 4P_Q fW Y( who is personally known or has produced who is personally known_or has produced a as identification. as identification. e r STAMP Si tore of Votary Public Signatu•e of Nota Public STAMP �_Aqlzv_ Print Name of Notary Public Print Name of Notary Public &ER ic State of Florida lson sion HH 0594332/2024Revised I1 Krislee Nelson �`' a '�'1Y CommissionH orn� Expires ll/0 H059433 2/2024