HomeMy WebLinkAboutShapard Sub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Stony Electrical Contractor LLC
(Company Name/Individual Name)
the Electrical
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for PJM Custom Homes
(Type of Trade) (Primary Contractor)
For the project located at 1530 Pineburke Lane, PSL
(Project Street Address or Property Tax ID #)
I 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
tiling of a Change of Sub -contractor notice.
CO, TRAC SIGNATURE (Qualifier)
,tmY 19 y /vn,'—
PRINT NAME
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COUNTY CF.RTIHCATION NUMBER
State of Florida, County t ��,•� ��\.
The foregoing instrument was sig1ned� before mete this (i day of
_J &` )U K ��, 20 22, by 1Gt � %0 n V1 len.
who is personaliy known or has produced a
STAMP
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v Z ; AiH 000454
EO�.•� 6
r��� • °� F?ded tht� �e •' Q�
i aio Ins etaO.•' �`
Still -CONTRACTOR 31GNATURE (Qualifier)
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PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of mir%t 1koc� v
The foregoing instrument was siggnne,d. ,before me this � day of
JO
�4 ,202? by IVIyClLQS��
who is personally known or 1 as Produced pr°duced a �• —6��
as identiftcatitp--\ l
STAMP
Signature of G/ary Public
�QtlfSt �\ MARIA D ;fli
Print Name of Notary Public 0 ••.•GpM�ISS/p�'< �:'Q ��.
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