HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT ELECTRICALPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
r C_ L
SCANNED
BY
St Lucie County
have agreed to be
(Co pany Name/Individual Name)
the lec-T r , z e / Sub -contractor for CA,) ti ,i n t Vey e— /ej
(Type of Trade) (P mnmaa& Contractor)
For the project located
(Project Street Address or Property Tax ID #)
S
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.
CONTRACTOR SIGNATURE (Qualifier) o RACTOR SIGNATURE (Qualifier)
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PRINT NAME
COUNTY CERTIFICATIONNUM1BER
State of Florida, County of (�V _(.0-
The foregoing instrument
was signed before me this Zda
who is personally known _Kor has produced a
as identification.
STAMP
Signature of Notary Public
E-,
PrintName of Notary Public
NOWY Pub1- S �1e .Fiorida
Kerri Bud0
< My Commissbp FF 9765d3
Revised 11/16/2016 N#wok Expires 0512 ?�20
PRINT NAME
�Z/Z/4;2-
COUNTY CERTIFICATION NUMBER
State of Florida, County of.Li Z.
The foregoing instrument was signed before me thia� daffy of
tr' : 20a byty�ld`7'Y�
who is personally known _V or has produced a
as identification.CRCLU��(�
O � �U 4Q STAMP
Signature of Notary P.ubiic
�('_ S&': 0 k 3s�\nk_6 q
Print Name of Notary Public
LAl1RA R. CU13DEDGE
x Ccpmmisslorr# GG 02Z076
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Pi s October2l; 2020
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