HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Mark Lurtz/Comet Electric & Equipment, LLC
(Company Name/Individual Name)
the Electrical
(Type of Trade)
For the project located at
Sub -contractor for
sue,, AAA&
ect Street Address or Property Tax ID #)
4ve�areed to be
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.
AFONTRAcTUR SIGNAT RE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of lkL�.�,
The foregoing instrument was signed before me this IL day of
01�j LAA-t—
. 2oL, by
who is personals wn n _or has produced a
as
✓" ��
STAMP
Signature ofAotary Public
Print Name of Notary Public
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SUB -CONTRACTOR rNATURE (Qualifier)
Mark Lurtz
PRINT NAME
23169/EC13002784
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this
. 20_, by
n Notary Public State of Florida
Tonya Adkins
My Commission FF 207706
OF F�O� Expires 03/09/2019
day of
STAMP
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PLANNWG & DEVELOPMENT SERVICES
. Building & Code Compliance Division
BIIILDING PERWr
SUB -CONTRACTOR AGREEMENT
(PZp,any Name/Individual Name)
the
(Type of Trad
For the project located at %b^� �-
(Project Street Addn
Sub -contractor for
or Property Tax ID
have agreed to be
C I ��
(Pontractor)
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,
NTRACTOR SIGNATURE (Qualifier)
6
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20' by
who its personally known _or has produced a
as
Signature
Print Name of Notary Public
STAW
Revised 11/16/201
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CTO GNATURE (Qualifier)
PRINT NAA"IE
COUNTY CERTIFICATION NUMER
State of Florida, County of
Theforegoing instrumeot vas signed before me this day of
20/_/by
who is personally^ own or has produced a
as
ON/
Print Name of Notary Public
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JAMESROUAN
;•,!Y Ot7PdMISSION # GG 008621
EYPRES:NoVember4,2020
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STAMP