HomeMy WebLinkAboutElectrical Sub Agreement Form Signed 116PLANNING &. DEVELOPMENT SERVICES
Building air Code Compliance Division
L t_ s= Li L-
BUILDING PERMIT
SU$-C'OC f`RAL TOR AC RE EMENT
Joe Ciceri Publre Service INCDBA: Electftai Works
(Company NainerIndividual Name)
the ReMical
(Type vFTrade)
have agreed to be
Sub -contractor for Champion Home Builders IN
(Prirrinry Contractor)
For the project located at 116 N Erie Dr Fort Pierce FL 34946
(Project Strcct Address or Property T;rx I l7 ;u)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the BuiIding gild Code Reguialk)n Division of St. Lucie County wiII be advised pursuant to the
filing of Change of'Sub-contractor notice,
CON'TR.,%(-I`OR ! K-,-sATURF. JQuo11fierl
Samuel R Taromino Ili
PRINT \AA11•.
IH( 11 753
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stale a Florida, { ILIMIV OF
The rort2oiika inxlrlamrlil r3nn 4illncsl hefM iue thix Ligy nr
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Joseph B Ciceri
WNTNALNIE
163
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Stele of Flaridu. C4311n13- of Lake
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.February y ikv Joseph B C iceri
who i% prrmholls knrrwu _IFr NO 13N)dutrd a wi s Ire . rrrIAIN knnwn XX nr has prtrduced n
us IdC111IPcatinn. r� ILIen iicaliuu.
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4ipnature of Nf torr 170rlic 4lVnature or tiuIAr-v Puhiic
Dana K Ostrom
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Notary Public Slaw o+ Honda
C. Dana X 0sirorn
MX CarrmlWo'r GG $270q 1
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