HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # I ) Q_6 3 o bqV
PLANNING & DEVE:
Building & Code
BUILDING PI
SUB -CONTRACTOR
Ely
Focus Electrical Services
(Company Name/Individual Name)
the electrical
(Type of Trade)
ISSUE DATE
SERVICES
Division RECEIVED
MAR 16 7018
Permitting Department
St. Lucie Count'
have agreed to be
for Focus Electrical Services
(Primary Contractor)
For the project located at 3214 Ave D Fort Pierce FL 34947
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status
project, the Building and Code Regulation Division of St.
filing of a Change of Sub -contractor notice.
CONTTtACTA SIGNATURE (Qualifier)
Raymond Burns
PRINT NAME
ec13003609
COUNTY CERTIFICATION NUMBER
State of Florida, County of brevard
The foregoing instrument was signed before me this 13 day of
3 20_, by Raymond Burns
who is personally known or has produced a
as identification.
1 7' STAMP
Signature of Notary Public
Print Name of Notary Public
'.."'Sy .......,,
NADINE MARIA AUSTERFIELD
Notary Public - State of Florida
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Comrr;ssion # GG 143590
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My Comm. Expires Nov 7, 2021
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Revised 11/16/2016
our participation with the above mentioned
County will be advised pursuant to the
Si-CONTRAVOR SIGNATURE (Qualifier)
Raymond Burns
PRINT NAME
ec13003609
COUNTY CERTIFICATION NUMBER
Si to of Florida, County of brevard
The foregoing instrument was signed before me this 13 day of
3 , 20_, by Raymond Burns
who is personally (mown or has produced a
identification.
Jotary Public
NADINE MARIA "'S-RFIELD
Notary Public-5tztepf,F,Iorid
Commission , , 1.43590
Expires Nov 7,20
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