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HomeMy WebLinkAboutSUB AGREEMENTPERMIT# 2111-0440 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ARS RESCUE ROOTER/ JOSPPH FRICK (Company Name/individual Name) the ELECTRICAL (Type of Trade) have agreed to be Sub -contractor for ARS RESCUE ROOTER 1 DENNIS Z4CEK (Primary Contractor) For the project located at 5505 DELEON AVE FORT PIERCE, FL 34951 (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. Z11-1 q�� _iD I - CONTRACTOR SIGN E (Qualifier) DENNIS ZACEK PRINT NAME - CMC1249753 COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCIE The foregoing instrument was signed before we thisLq— day of mow, 20 by DENNIS ZACEK who is personally known or has produced a a -den cation. S. d i nature of N tary Public WName of No Public SU - OR SIGNATURE. (Qualifier) JOSPEH KENAN FRICK PRINT NAME EC13008558 COUNTY CERTIFICATION NUMBER State of Florida, County or ST LUCIE 10 The foregoing instrument was signed before me this day of 2p y JOSEPH FRICK who Is personalty !mown X—or has produced a as idenHflgation. STAMP f S re of Notary Public 407 Zcruz_ Print Name of Notary Public LAUREN PFLEIDERER Notary PuVic - State of Florida dFi Commission # HH 013389 Revised 11iI&ZOi 6 offl my Comm. Expires Jun 22. 2024