HomeMy WebLinkAboutElectrical sub agreement permit 2112-0234PERMIT #
2112-0234
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ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building &Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Tom'Pope have agreed to be
(Company Name/Individual Name)
tl�e E�ectrica► Sub -contractor for /__kr..1V1 &ASSOCIATES ILC
(Type of Trade) (Primary Contractor)
For the project located at 2109 NW GREENBRIAR PALM CITY
(Project Street Address or Property Tax ID #)
FL 34990
It is understood that, if there is any change of status regarding our participation with the above mentioned
deRegulation Division of St. Lucie County will be advised pursuant to theproject, the Building and Co
filing of a Chan
of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
ANDRE E. MICHELE
PRINT NAME
CGC1 525027
COUNTY CERTIFICATION NUMBER
State of Florida, County of �50LL)C% �
The foregoing instrument was signed before. me this - I- . day of
� tA zoo by
who is personally known �yor has produced a
as identificationO
�_l " L0 _UT - I - �
signatuye of Motary Public
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Print Name of Notary Public
Notary Public State of F�or{da
Robin Sullivan
My Commission GG 929907
Expires t 11Q612p23
Revised 11/16/2016
SUB -CONTRACTOR SIGNAI
TOM POPE
PRINT NAME
RE (Qualifier)
EC1 3010414
COUNTY CERTIFICATION NUMBER
State of Florida, County of JJ Cte,
The foregoing instrument was signed before me this day of
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who is personally known Vor has produced
identificatian.
SignatVre-of Notary Public
J
Prl*nf Name of Notary Public
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Notary Public State of FWida
Robin Sullivan
My Commission GG 921D907
Expires 1110612023
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