HomeMy WebLinkAboutElectrical Sub PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
�pvdi5 �11Y•(, have agreed to be
(Company Nam /Individual Name)
the �P�:u� Sub-contractor for �VSe- ymtek
(Type of Trade) (Primary Contract r
For the project located at (Jrzlm IOt:u(. Glh' 3t'K�Pi�t 9.1rRA
(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.
CONTRACTOR$f NATURE(Qualifier) CONTRACT R SIGNATURE(Qualifier)
�,t, '�u �l nt
1 NA E
PRINT NA
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of k A State of Florida,County of f"�wk,
The foregoing instrument was signed before me this_J�L day of The foregoing instrument was signed before me this 1'3—day of
410WW _,20l_�,by Isk u�� ,20Zl,by_ JehV �OYS(n,ttL
who is personally known or who is personally known_or ha
ES ��"•": RUTH ANN BATISTA MORALES
as identification. :•; WCOMGIISSION tt HH 160258 as i cntification.Dtt L =
• ? MYCOMAI
EXPIRES:August 3,2025 ' : _ ISSION#HH 1(i0258
0ordd Thru Notary Public urden++Nen `?� P:' EXPIRES:August 3,2025
di r�?"' Bonded Thu UiMetwtNers
Ig ature of ary Pu is ISYgtiaMre 6f Notary Public
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Pri t Name o Notary Public Print Name of Notary Public a
Revised 11/16/2016