HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Goldstar Electric Inc have agreed to be
(Company Name/Individual Name)
the Electric Sub -contractor for u \kTiD{1 T-)N I� 1
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ED #)
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of UIJ
The foregoing instrument was signed before methisM__ day of
who is personally known Vor has produced a
7ignature
lion.
1 FO&
fNo Pu lic�.ia GOAJA t. to Garda
Print Name of Notary Public
Revised 11/16/2016 ��
Akll"�
B-CONTRACTOR SIGNATURE (Qualifier)
John Cavnar
PRINT NAME
23575
COUNTY CERTIFICATION NUMBER
State of Florida, County of
Theforegoinginstrument was signed before me this 2-2. day of
,2%,by ��ti Crave,ay
who is personally known —/ or has produced a
as ide . cation.
) /7
Signatur o ary ublic
i9a" to- r_40L-vk1s*a+Print
IZD-..
Name of Notary Public
to
r-
PERMIT # ISSUE DATE'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Tndi idual Name) , I
the 7% Sub -contractor for
Type of Trade) J (PrimaryynContractor) �j J
For the project located at bU W
(Project Street Address or Property Tax )
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.
Qw�kSIGNAT ier)
PRINT NAME
COUNTY CERTIFICATION NUMFER
State of Florida, County of
Sk
The foregoing instrument was signed before me thiday of
20 ;. by iA&tgton ;f_
who is personally known or has produced a
as identification.
Signature of Notary Public
�Acm-e woo -CA
ry Print Name of NotaPublic
�.�►=Statete of Floridaardy��GG 227406�eprM122
Revised 11/16/2016
�.SL'1B -O �r ''ryTtOR SIGNATt�Z;iE"(Qualifier)
IZ7 Q0licr•�uTl N
COUN Y CERTIFICATION NUIVBER
State of Florida, County of S3 . ) WC l e.
The foregoing instrument was signed before me this —T. day of -- JJ
>t , 20�y J -U IMP
who is personally known _or has produced a
-lkps identification.
STAMP
o S nature of Notarl( public
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PAY i ?'.4D�.:..•,n i #! Gt; 3008'•"
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