HomeMy WebLinkAboutSavannah Club Lot 7502- Electrical Sub form-SignedPERMIT# ISSUE DATE
COUNTY
FL
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Matrix Electric Inc
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for B.A.C.H. Land Development LLC
(Primary Contractor)
For the project located at 7916 McClintock Way, Lot 7502
(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
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATU 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 &_or has produced a
as identification.
Q' gn tu�r�e offNNotary Pu H ( ^
Print Name of Notary Public
LAURIEKINDLE
MY COMMISSION # GG 172.276
�J N,•
r' ,a� FJ(f'IIZES: February 24, 2022
RevisA d ('ilRbi�2 f6 Bonded Thru Notary Public Undenwrrilers
ATURE
Frank Sac
PRINT NAME
pursuant to the
EC13002252
COUNTY CERTIFICATION NUMBER
State of Florida, County of 6eGt C k
The foregoing instrument was signed before me this l k day of
January ,2022,by F IiLi n V- SC(CCc mc- n
who is personally known —4or has produced a
as identification. w
STAMP�� �L�l /� STAMP
Signature of Notar3OPublic
NoIijes C <<cl ain
Print Name of N tary Public
iV"ri •. HAILEY COLEMAN
y.4 °; r'i Notary Public - State of Florida
,si` Commission N HH 49886 '• �'' �,K,: My Comm. Expires Oct t, 2024
4 Bonded through National Notary Assn.