HomeMy WebLinkAboutELECTRICAL - SUB-CONTRACTOR AGREEMENTthe
For the project located at 1000 S. 6Ce A ll or 3eiewSeo B64A 97- 34195:
(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
film of a Change of Sub -contractor notice..
r
CQNTRAC7OR SIGNATiiR (ginaWier) SITS CONWI iCTOA SIGKATURE (QualWer)
- o15 C4%ism 1~
.PRINT NAME FRINT NA�MI~
C NTY CERTIFICATION NUMBER COUNTY Ct"V ICA7TION NUMBER
State of Florida, County of C! G State of Florida, County of Ll LUGi iG
The foregoing instrument was signed before me this 71__ day of The foregoing instrument ► as. signed before me tuts.? I day of
y , _'20Bby Qeher� Nc1Ms �- - as �by��Ar
who is personally know, V or has produced a who is peraonal►y known! or has produced a
as identification. a®-ldentif ention.
STAMP STAMP
Signature of Notary rUbliC in+re o�rivorary ru4ttc
tea Nc�✓1 S'
Print Name of Notary Public Print Name of Notary Public
RONALD JAMES NARBUTAS
Notary Public.- State of Florida RONALD DAMES NARBUTAS
Commission # HH 028442 '
o My Comm Expires Aug 5 2024 Notary public - State of Florida
Revised 11/16/2016 Bonded through National Notary Assn. Y
BoedeM Commission # HH 028442
oer� d Expire, through Nt' 1iional Notary Assn.
I I �
PERMIT # F' Z — DS(� Z ISSUE DATE ! 7-1 -- Z Z.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
y M 6l 1 c, have agreed to be
(Company Name dividual Name)
the Q jy,n,,J0 iy') C, _ Sub -contractor for Q,„ e'V)4;ot1 i eC1► A 0 (o qfi e ,5'
(Type of Trade n/ (Primary Contractor)
For the project located at 9�00 5, DCeor) Or �,eytseo 264cl> CL 3g95 7 /S-Z) l
(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.
CONTRACTOR. SIGNATURE (Qualifier)
Qo^gr+ PC(Wlfofi C,
PRINT NAME
r,-hG PS''Z2&3L1
COUNTY CERTIFICATION NUMBER
State of Florida, County of t C% e
The foregoing instrument was signed/before me/ this 7-1 day of
SrAytJ" ___,210Z7,hy �O u i /C[IMsO✓f
who is personally known V or has produced a
as identification.
S gna re of Notary Public
/&1144d .aa,400*9_2
Print Name of Notary Public
RONALD JAMES NARBUTAS
Notary Public - State of Florida
Commission # HH 028442
My Comm. Expires Aug 5, 2024
!d through National Notary Assn.
Revised 11/1
'4-< /C/ 4 /.) Y'y
COUNTY CERTIFICATION NUMBER
State of Florida, County of ,0 L V ey e-
The foregoing instrument was signed before me this -ML day of
t4h tli4h�, 20Z, by
who is personally imown Veor has produced a
as identification.
STAMP
fgnature of N tary Pubic
Print Name of Notary Public
RONALD JAMES NARBUTA
. Notary Public - State of Florida
Commission # HH 028442
or n� My Comm. Expires Aug 5, 2024
Bonded through National Notary Assn.
STAMP