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HomeMy WebLinkAboutbuilding commericalPERMIT# 2005-0375 ISSUE DATE PLANNING & DEVELOPMENT SERVICES - Building & Code Compliance Division • BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Bruce Arnold Vw*/IL S0 ft S FU7'at0%XV 1 (Company Name/Individual Name) the Electrical (Type of Trade) have agreed to be Sub -contractor for Wllson's Petroleum Fol• the pl•oject located at 121 s Kings Hwy, Ft pierce (Primary Contractor) (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 aChange ofSub-contractor notice. PRINT NAME SUB -CONTRACTOR SIGNATURE (Qualifier) EkQVLv: ��tpV� PRINT NAME E L. COUNTY CERTIFICATION NUMBER State of Florida, County of J 1 i �i�� G � �� State of Flm•ida, Counh• of� The foregoing instrument was signed before me this _day of The foregoing instrument was signed before me this U day of G trersonall�yy , by /�� pi�JIGO � �!—2U by,who iknown or has produced apj 4voujf -/ who Lpers=onafl�y wior has produced a��e5�y�� as identilicalio as idenli cation. STADIP STAMP Signatur of Notary Pubw V Signature of Notai, Publi MARK SPIEGEL /3ztf� 6e � '��� . `A MARK SPIEGEL ; Print Name of N ary P IIC MY COMMISSION # GG335907 tint Name of Notary Public MY COMMISSION # 00335907 4 % EXPIRES: May 16, 2023 "'+.&a EXPIRES: May 16-202 Revised 11/1G/2UlG