HomeMy WebLinkAboutSubcontractor AgreementPERMIT # ISSUE DATE
(COUNTY **`
f L O R 1 D A
L
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
LIi'cfrl'C'
Name/Individual Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sels- '(G T ti L have agreed to be
the FI_FCTRIC:AL Sub -contractor for WILCO CONSTRUCTION INC
(Type of Trade) (Primary Contractor)
For the project located at 1106 Nettles Blvd, Jensen Beach - Withers
(Project Street Address or Property Tax ID #)
It is understooA 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 Chan f Sub -contractor notice.
CONTRACI'O(SIGNAT nalilier)
ROBERT WILLIAMS
PRINT NAME,
29115
COUNTv CERTIFICATION NUMBER
State of Florida, County or ST LUCIE ('.0
'file foregoing instrument was sign 1 before me this f
is I Jay o
.21 by — VJ I r arras
who is personally known _or has produced it
e idenlificntian.
5igan ure of Nolary Public
AWn a L
Nnnte or Notary Public
DAWN FITZGFRALD
MY COMP ISSION # GG 162348
• ` EXPIRES: December 17, 2021
F F ` Bonded Thru !rotary Public Underwriters
S00;P6NTRXCT0R SIGNATURE, (Qualifier)
'M' 1. , n L4Z..'
PRINT NAME.
029y3.)_
COUNTY EEWNFICATION NI�tR - � f
Slate or Florida, County of �( 1(
"be rueegning htstrumenl was signed before me Ills 1 ay of
LAIAtry
who is personally known _ .- ling produced a
ns idcnlificnlion.
STAMP STAMP
�Dq
SignTtrNotary Public
w n GL°
Print Namc orNo(a y Public
77
DAWN FII-ZGE17LD ,l
' MY COMMISSICN # GG 162348 i
" EXPIRES: December 17, 2021
F F F.; Bonded Thn, Notary Pubic Underwriters