HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT?^KNIT# i i iSSUE DATE I
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CNTY `
F 1. G R I D A
riie
f-LtG T
PLANNING & DE
Building & C,
SCAMW
By
W urlp('R""
Company Name[Individuai Name)
ELECTRICAL
i T vue of Trade)
For the proiect located at
BULL
114 QUEEN ANN CO
SERVICES
Compliance Division
PERMIT
R AGREEMENT
i—Pl- ^• zrxePL to be
for WILCO CONSTRUCTION INC
(Primary i :ontractor p
(Project Street Address or Property Tax ID #)
It is understood that_ if there is any change of status rI carding our particioation with the above mennoner"
I
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.
CONTICACTOR SIGNNIVRE (Qualifier)
116a s
PRI ' NACa
� X) l l S
COUNTY CERTIFICATION NUMBER
117
State of Florida. County of
The foregoing instrument was signed before me this � day of
_20 17b„21�b P 1Alil l� anfs
who is personally known has produced a
as Identification.
7
si¢nainre of Notary Public,
Name
DAWN FITZGERALD
My COMMISSIoN # GG ' ��
EXPIRES: Dece� i7, 202ilers
Bonded T Notary
Revised l 1 J*I612016
S 'OlYTRACrORSF(iNA'NRL (Qualti'tes-••
JAMES W Ll VY
1'RIN'r NAME
W98
C011N-rYCERTIFIC.XrION NUME•_.'
State of Florida, County c :' St. Lucie
The foregoing instrument was signed before sue this 2 day or
April .2aA�b., James W Law
who is personally known or has oroduced a
as identitiealior_
• s tuMii �_���
5 guature ofNatasg' Public
DAWN FI77GERALD
W COMMISSION # GG 16230
EXPIRES; December 17, 2021
bonded Thor Notary PW& ftemh"
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