HomeMy WebLinkAboutSub-Contractor Agreement870159 TMO L1600 A2P0036B
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT APR 2 3 2020
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If appiicabie): EC0000187
Robert Koenekamp/ East Ocean Electric of Florida have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for Olin Wayne Companies, Inc
(Type of Trade)
(Primary Contractor)
For the project located at 1100 Dyer Rd., Port Saint Lucie, FL 34985
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: LiCL.s t
Address: 5-6 0 MI,J . 0_'-) �
City/State/Zip: ( jthO C h , J-T . -3 206 q
Phone: <56/- ya email:
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF 9��
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS l - DAY OF "QCC, , 202-0
BY \ y r r�I�QJ1 WHO IS PE ONALLY KNOWN OR HAS
PRODUC /1 AS IDENTIFICATION.
09
SIGNATURE Of NOTARY PUBLIC PRINT
SLCPDS: 08/06/2014
OF NOTARY
ae, lPk� Notary Public St��EEgg� wtoK i
Linda Palozzol`' ��1
r My Commission GG 197440
Eo, Expires 04/07/2022