HomeMy WebLinkAboutSavannah Club Lot 7206 - Electrical Sub form- SignedPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Matrix Electric Inc
(Company Name/Individual Name)
the Electrical
(Type of Trade)
have agreed to be
Sub -contractor for B•A.C.H. Land Development LLC
For the project located at 3509 Red Tailed Hawk Dr, Lot 7206
(Primary Contractor)
(Project Street Address or Property Tax ID #)
3425-704-0012-000-2
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 Countw-wtlL1 e advised pursuant to the
filing of a Change of Sub -contractor notice. 1�
CONTRACTOR SIGNATURE ualifier) SUB- 0l`1TRA TOR SIC A E (Qualifier)
William J. Bushkie
PRINT NAME
CBC1260502
COUNTY CERTIFICATION NUMBER
State of Florida, County of Hillsborough
The foregoing instrument was signed before me this 24 day of
January 2022 by William J. Bushkie
who is personally known X or has produced a
as identification.
STAMP
g tut•e of Notary Public
L a.LA r�\ 6.�IJQ
Print Name of Notary Public
[L—An..
LAURIE KINDLE
MY COMMISSION # UC '172271,E\P;RES: February24,2022Bonded Thru Notary Public Un;Revised 11/16/2016 �inwwsu_.-
Frank Sacc&mran_.
PRINT NAME
EC13002252
COUNTY CERTIFICATION NUMBER State of Florida, County ofs``
O&AGi,%
The foregoing instrument was signed before me this 1— day of
January , 202Z by
who is personally known Xor has produced a
as identification.
STAMP
Signature of Notary Public
1-4 11 r,�1 (oI
Print Name of Nobry Public
i..OrAr
'
HAILEY COLEMAN
Notary Public . State of Florida
Commission # HH 49986
•
My Comm. Expires Oct 1, 2024
Itunded through National Notary Assn.