HomeMy WebLinkAboutTony Pereira SUBCONTRACTOR FORM PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
COUNTY
Building & Code Compliance Division
F L 0 R I D A -�J—
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
MOMENTUM SOLAR/MATTHEW FRANZ have agreed to be
ELECTRICALAndiN�dualName) CAMERON CHRISTENSEN
the Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 409 OLEANDER AVE / 3419-510-0206-000-5
(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.
CON J KAICIT URE(Qualifier) SLB-CONTRACTOR SIGNA E(Qualifier)
CAMERON CHRISTENSEN MATTHEW FRANZ
PRINT NAME PRINT NAME
CVC57036 EC13008217
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ST LUCIE State of Florida,County of ST LUCIE
The foregoing instrument was signed before me this 16 day of The foregoing instrument was signed before me this 16 day of
FEB zo_,by CAMERON CHRISTENSEN FEB 2u�by MATTHEW FRANZ
who is personally known_or has produced a who is personally(mown or has produced a D L
as identification. lasidentification.
STAMP STAMP
nature of Notary Public tore of Notary Public
ELIZABETH BRANNACK LIZABETH BRANNACK
Print Name of Notary Public Print Name of Notary Public
Notary Public State of Florida
Elizabeth Brannack
My Commission Notary Public State of Florida
lilt HH 214785 �, Elizabeth Brannack
EXp,112412026 MyHH Commissi1on
Revised 11/16/2016 EXp, 12412026
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