HomeMy WebLinkAboutSub-Contractor AgreementRECEIVr:D SEP 10 z0�7
w PLANNING & DEVELOPMENT SERVICES
�f ��'~`��° 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 fo
Address
(Primary Contractor)
Tax ID #)
have agreed 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.
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CONTRACTO SIGNATURE (Qualifier)
&Ytn A
PRINT NAME
_ tvc NCO? Z�
COUNTY CERTIFICATION NUMBER
State of Florida, County of S11: t "_� ^�►7
The foregoing instrument was signed before me this G 1tlay of
lnl�� ,20?by
who is personally known for has produced a
as identification.
Signature of No ry Public )01
JV�A
Print Name of Notary Public
STAMP
N_
SUB -CONTRACTOR
Mark Lurtz
PRINT NAME
(Qualifier)
23169/EC13002784
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
foregoin instrument was signed before me thi "/ day of
,267,by ,
who is person311y known _X_or has produced a
as
of
O�p¢Y PV0 NOtP QO State of Ftoflda
JAMES ROUAN
'P = MY COMMISSION # GG 008627 r 0 �; Tonya AdKin5
M EXPIRE& November 4, 2020 h,# c MY commission FF 207705
�? �QiF •3 Expires 0310912019
Revis ( d Bonded Thru Notary Public Undandtors or r
STAMP
STAMP
RECEI .'�.20�7
D SE? 1 J
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
. Building & Code Compliance Division
BUILDING PERMTI'
SUB-CONnUCT01t AGREEMENT
(pzrm
any Nameftdividoai. Name)
the '
(Type of Trade/
For the project located at
(Project Street Adds
have agreed to be
Sub -contractor for C Axi
(Prima Contractor)
L 1
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 Countywill be advised pursuant to the
filing of a Change of Sub -contractor notice.
6"'.1 AA-1�
CONTRACTOR SJPNATURE (Qualifier)
twl
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this —/— day of
20 PAY
who is personally knowp.l11 or has produced a
as
STAMP
Signature of Noy ry Public
Print Name of Notary Public
, JAMESROUAN
Revised 11/1 01 `� �: •.
MY COMMISSION p GG 006627
*i fH E EXPIRES: November4, 2020
Bonded ThnJNotaN Public Undenrriters
e""� , "'z�
SUB -CONTRACTOR SIGNATURE (Qualifier)
Aw!1
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida; County of t;f Ly
The foregoing instrument was signed before me this day of
20!Dby r.
who is personally (mown as produced a
as ident"ff'.—
STAMP
SignatqA ofNobryIPublic
Print Name of Notary Public
JAMES ROUAN
9rgp•P°%
MY COMMISSION # GG 006627
Ntr EXPIRES: November 4,2020
Bonded Thru Notary Public Underwriters
2