HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - ELECTRICAL ER
MIT ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
' Building & Code Compliance Division
r
r BUILDING;PERMIT
" Y SUB-CONTRACTOR AGREEMENT
RJS Electric Inc. DBA Electric Connection _ have agreed to be
(Company Name/Individual Name)theHOMECRETE HOMES INC
ELECTRICAL_ __- - Sub-contractor for - --- ----
- (Primary Contractor)
(Type of Trade)
TBD DYER RD / ID#3414-501.1412-100-7 —
For the project located at -
(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
flli f a Change of b-contractor notice.
C NTRACT0R SIG E(Qualifier)
-- tit B-C,:'f R;\t r0R SIGNATl1RE(Qualifier)
Fundy Sjaardema __-
_ PRINT NAMF]
PRINT NANME
cQ 48_Co ---
_ -- - -
t,t �21t05511 Ir A t in.tii �itcaai`�
COUNTY CERTIFICATION NUMBER .
State of Florida,County of St 111tr__
State of Florida,County of 5 4_1
cut was signed before me this 24 day of
The foregoing instrument was signed before me thiay day of The foregoing instrwn
AbQ( September,zo2lby Randy Sjaardema_,.
who is personally known,or has produced a _. ----
who is personally known X or lips produced a_p
as identification. as identification.
, S'f A1.1P
STANIP
- Sit•naturr ofil:u't I'tlTilic
Signature of Notary Public
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-1.165�--� ` "� `�' Print N ote of Notary Public
print Name ul Norm y Public
19 I I Iil I I lYt
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=Not State of Florida t ,,,,I I,,, _{
howman tv)A7ion GG 294495Revised l I/16l2016 I2023