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HomeMy WebLinkAboutSUB, ELECPERMIT # ISSUE DATE COUNTY F L O R I D A Goldstar Electric Inc PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the Electrical Sub -contractor for Bela Vista Contractors, Inc. (Type of Trade) (Primary Contractor) For the project located at 7201 Georges Road, Fort Pierce, FL 34951 (Property Tax ID # 1301-614-0172-000-8) (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 -co ractor notice. CON 4CTOR SIG>ATURE (Qualifier) Zrcio C. Silva PkINT NAME 31942 COUNTY CERTIFICATION NUMBER State of Florida, County of Broward The foregoing instrument was signed before me this25th day of January 2022, by Marcio Silva who is personally known X or has produced a as i nt' n. signature of Notary Publ' Hudson Lopes Print Name of Notary Public Revised 1111612 HLK" LOPES r ` ? W COttiilwIiSS10N 0 M 134778 EXPIRES: Ady 7, 2425 Bandrd Tlru Pd* LkX rw ft9 Ifi STAMP U%J1111 VGtvtickl PRINT NAME 23575 COUNTY CERTIFICATION NUMBER State of Florida, County of • 11 3c ! f. The foregoing instrument was signed before me this ZP3 day of 2071 by 44 who is personally known te-"or has produced a as identification. Signature of Notary Public P�� tt 1 r+{sue. �Aakw�_. Print Name of Notary Public