HomeMy WebLinkAboutElectric SubcontractorPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT
• Building & Code Compliance e Division • Ion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Matrix Electric INC
(Company Name/Individual Name)
the Electrical have agreed to be
(Type ofTrade) Sub -contractor for Thomas G Jennings
For the project located at (Primary Contractor)
7702 McClintock Way
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation
with
Project, the Building and Code Regulation Division of St. Lucie o nfty I e wdthe above mentioned
filing of a Change of Sub -contractor notice. vlsed pursuant to the
CONTRA TOR SIGNATURE
(Qualifier)
Thomas G Jennings
PRINT NAME
IH1025176
COUNTY CERTIFICATION NUMBER
State of Florida, County of POLK
The foregoing instrument was signed before me this 17th
—day of
March
20_22, by Thomas G Jennings
who is personally known _x_or has produced a
Revised 11/16/2016
TAMP
KIMBERLY WAI KINS
My COMMISSION! GG288786
EXPIRES:Janua, 7, 2023
1P;,biic Undesvdrifers i
SIGNA
Frank Sac
PRIN NT NT AME
EC 13002252
COUNTY CERTIFICATION NUMBER
State of Florida, County of PALM BEACH
The foregoing instrument was signed before me this J_L day of
203,byL �Ct Cf rv.rrll
who is personally known �or, has produced a
as identification.
A*A�` P,&""' SARAH BEDARD
nature of Notary Pub c � -NOUrY to of Florida
Commission # HH 2333116
°•.,ter` My Comm. Expires Feb 27, 2026
bonded through Natival Nota
B rY Assn.
Print Name of Notary Public