HomeMy WebLinkAbout2-Electrical Sub 31 _
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PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
Robert Borkowski
(Company Name/Individual
the Electrical
(Type of Trade)
13U[LllING PERMIT
SUB -CONTRACTOR AGREEMENT
have agl•eed to be
Sub-conhactor for Venergy Group, LLC
(Primary Coutraclor)
For the p1•oject located at 3130 Seminole Road, Fort Pierce, FL
(Project Street Address or Properly Tax
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 (QxnliOcr)
Howard Ehrsam
PRINT NAME
3 L 7 Y I
COUNTY CERTIFICATION NUMBER
State of Flo•Ida, Caunty of T• L J C t'
'rite foregoing hnstrnnnent was signed before use this Z8) day of
NJ ,20Z2,by H'OVVhe11 CF PRSAM
who is personally known ,G or has produced a
as identiaenUon,
-)::w ��\'�" S'1'Ah7P
Signaliffore of Noto•y Public
JOSnt..A DA./nt)
Print Nape of Notnsy Public
••;$;�u ••., JOSHUA DAVID WHITE
"�•• �' MY COMMISSION it GG 98170A
EXPIRES: August 24,2024
Revised 11/16/2016 -•�' ,o• Bonded Thai Notary Public Undeanllms
SUB T ACTOR SIGN 't URE (QualiRor)
Robert Borkowski
PRINT NAME
323 6
COUNTY CERTIFICATION NUMBER
Sinteof Flo lda,Conntyor ST. LUCr*F
The foregoing Instrument was signed before nue ibis Zn•g tiny of
Fuze JAR , 2ozz, by ZOI&e9- � S D f° ow SK. t
who is personally known *�<—o• has produced a
as IdcullRcation.
C� STAMP
xhnro of Nolmy Public
Print None of Notary Public
JGSHUADAVIDWHITE
"M"""••
'� �; MYCOMMISSIONNGG981704
t:•+o•< EXPIRES: August 24,2024
'"•"•P?,�tR" Bonded Thru Notary Public Undenvdlers