HomeMy WebLinkAboutElectric SubContractorAgreement"COUNTY
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E L O R I D R71
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Matrix Electric INC
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
For the project located at 8206 Bitterbush Ln
have agreed to be
Sub -contractor for Thomas G Jennings
(Primary Contractor)
(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 C
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qua ier)
Thomas G Jennings
PRINT NAME
IH1025176
COUNTY CERTIFICATION NUMBER
State of Florida, County of POLK
The foregoing instrument was signed before me this 21 St day of
February 2022, by Thomas G Jennings
who is personally known x or has nrndnr-i
PRINT NA
pursuant to the
EC13002252
COUNTY CERTIFICATION NUMBER
State of Florida, County of PALM BEACH
The foregoing instrument was signed before me this G- ay of
LJ�r 202 by 6b._P2�= �>Gi C
who is personally sown U" or has produced a
as identification.
sT.aMI>
Signature of Notary P b c
Print Name ol'Not ry Public
•+' '�;; ,. HAILEY CBLEMAN r
`q �T)� Notary Public - State of Florida
47 Commission 8 HH 49886
My Comm. Expires Oct t, 2024
Banded through National Notary Assn.