HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterPERMIT# 2111-0440 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ARS RESCUE ROOTER/ JOSPPH FRICK
(Company Name/individual Name)
the ELECTRICAL
(Type of Trade)
have agreed to be
Sub -contractor for ARS RESCUE ROOTER 1 DENNIS Z4CEK
(Primary Contractor)
For the project located at 5505 DELEON AVE FORT PIERCE, FL 34951
(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.
Z11-1 q��
_iD I -
CONTRACTOR SIGN E (Qualifier)
DENNIS ZACEK
PRINT NAME -
CMC1249753
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCIE
The foregoing instrument was signed before we thisLq— day of
mow, 20 by DENNIS ZACEK
who is personally known or has produced a
a -den cation.
S. d
i nature of N tary Public
WName of No
Public
SU - OR SIGNATURE. (Qualifier)
JOSPEH KENAN FRICK
PRINT NAME
EC13008558
COUNTY CERTIFICATION NUMBER
State of Florida, County or ST LUCIE
10
The foregoing instrument was signed before me this day of
2p y JOSEPH FRICK
who Is personalty !mown X—or has produced a
as idenHflgation.
STAMP f
S re of Notary Public 407
Zcruz_
Print Name of Notary Public
LAUREN PFLEIDERER
Notary PuVic - State of Florida
dFi Commission # HH 013389
Revised 11iI&ZOi 6 offl my Comm. Expires Jun 22. 2024