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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# SLC 2108-0098 ISSUE DATE 111 /17/2021 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Phase 3 Electric Inc have agreed to be (Company Name/Individual Name) the Electrical Sub-contractor for Gizze Construction Inc (Type of Trade) (Primary Contractor) For the project located at 7564 US Federal Hwy 1, FT. Pierce FL 34952 (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. i CONTRACTOR SIGN URE(Qual' ) / /SUB-CONTRACT R SIGNATURE(Qualifier) AN1_'Ya)VY Cr►�Z2G Glenn R Modica PRINT NAME PRINT NAME C, /- E / ')L- U"'y 9- 6 EC 13007053 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of S�Juizi State of Florida,County of St Lucie The foregoing insuwnen�twas signed 1bre-fore me thfi Liss 1 day of The foregoing instrument was signed before m f e this day o A)oyeM by ,20�il,by Af1T�1 Q 1'01[Ty A)064JkbU 20 1 by IeV1I1 1MdkCd io is personally known or has produced a w�ispersunallyown o•has produced a as identifieati as identificati �. STAMP STAMP Signatuiet4Xotary Public Signature SignatureW Notary Public ' Soncoalba too Print Name of Notary Public PrintKame of Notary Public 010•yt Notary Public State of Florida oP by Notary Public State of Florida ;° `t; Samantha M Polito :° 4` Samantha M Polito y My Commission HH Ol)4714 y My Commission HH 004714 Revised I I/I6/2016 7y� Expues05/2812024 '�aM1°� Expnes0512812024 PERMIT# S L E 1 © 0 1 ¢ ISSUE DATE PLANNING & DEVELOPMENT SERVICES c Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT V%, /� G have agreed to be (Co m any Name/Individual me) the wP,- irlA Sub-contractor for !si L2r Cor'5_�1_1 61CJ"l0,y,i /NC (Type of Trade) (Primary Contractor) For the project located at '75 C41 (,._S L Lu,-r—1�_ (6- it-/7 (Project Street Address or Property Tax)D#) 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. CONTRACTOR aSIGNATU (Quali rer) / S�TONTRACTOR SIGNAT L�`(Qualifier) /'I�/'/any C-1 '2�/� �l/4 00/14ll''a PRINT NAME PRINT NAME C 16 e //.I- C'F( 1� 2 9 3 1)- COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of %.k&e State of Florida,County of S�- The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of DQC9J1n1pCl ,20Z1,by AfYWYJnU G1tu c e1I ,20 ?1,by I► fCC6-f. DICE who is personally know �or has produced a o is personally kuown or has produced a as identificati as identificati . STAMP STAMP Signature of otary Public Signature o ary Public Print Name of Notary Public Print Name of Notary Public + �,�t+xry� Notary Public State of Florida ��+NI Notary PLb of Florida Samantha M Polito SamantlitoyMy Commission HH 004714 My comH 004714Revised ll/16/2016 '4�M10 ExpuesO5128/2024 + Expues04