HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT01/10/2018 13:29 FAX 7724606929 WILCO 2001
PERMIT #
S&W Electric Inc
'7! *2r 002 I
ISSUE DATE
PLANNING & DEVELOP�"NT S 1J CES K�C�I
Building & Code Compliance o wn JqN Z O
BUILDING PERMIT sr �vclQ co 2��8
SUB -CONTRACTOR AGREEMENT untY. Perms//n9
have agreed to be
(Company Namc&dividual Name)
the Electric Sub -contractor for Wilco Construction
(Jl pe of Trade) (Primary Contractor)
For the project located at 117 Queen Ann Ct.
(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 County will be advised pwsuant to the
filing of a Change of Sub -contractor notice.
9-i-yft
ZOONCTOIL SSIIG1N/AAAT/1U.RE (Qna fler)rtUM-CONTRACTOR SIGNATURE (Qualiflcr) V V (U i a r r- .r -e rlc e G./ -5 �z
PRINTNAME-PRINTNAME
COUNTY CE111'1FICATION NIOMBER .
State of Florida, County of . � Lk+4�3— f�
� foregoing instrument cons signed before me this { +T day of
dma 20,A y��`1�
who is pereoaaily or ham produccd a
am ideutl6cadon•
STAMP
Signature of Notary Pa 'c
DAWN FnZGERALD
MY COMMISSION # GO 162348
EXPIRES: tt MMber11,2021
psbW1luuNtumyPuh Vr4etwrbm
Revised 11/16/2016
COUNTY CERTIFICATIONNUMBER
((
State of Florida, County of f:jLX . `L'
The foregoing instrument was signed before me this t U day of
G"'ups 20 IT by �c e - 1
who is permonally known ✓ or ha6 produced a
u identification.
STAMP
I ,�atatti Not�gry, P%njbYIlic
L/ , �.�C/eCr
PrintNwnzANotaryrubrc
LUCY WHEATLEY
a� Net Public - State o1 Flotlda,
` Gommissi0n FF 818791
ttid',F, My Comm-.Eitplie6Jun 29, 20101