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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building"& Code Compliance Divi sion RECEIVED~ BUILDING PERMIT MAY 01 20118 SUB -CONTRACTOR AGREEMENT SCANNEDST. Lucie County, Permitting BY - St Lucie County Accurate Electrical Contracting, Inc. (Company Name/Individual Name) the Electrical (Type of Trade) For the project located at have agreed to be Sub -contractor for / r bQ- I Z U /J PI) b 1S (P ' ary Contractor) CI ppI -� Ar.)5+10-0 ,► I - le r C e (Project Street Address or Property Tax ID #) I 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. I CO T CTOR SIG A ,Qualifier) PRINT NAME CPC 11+5814+ COUNTY CE TIFICATION NUMBER State of Florida, County of��� TMinstrument instrument�jwas signed before metbisL0 day off, 20 �0 by k�" e r ` a��iC, who is personally know has produced a as identification. I STAMP Sign re of Notary Pubhc I JoswWra A. lI)gtaham Print Name of Notary Publ NOTARY PUBLIC STATE, OF FLORIDA I Corr04W032W Expires 3/912020 Revised 11/16/2016 Arthur Engelmann PRINT NAME EC0003072 COUNTY CERTIFICATION NUMBER State of Florida, County of Sr Lu et e ,-a The foregoing instrument was signed befor me this V day o P1RCff , zo f$ by who is personally known or has produced a as ide�tffi lion. 1( A n STAMP Signature of Notary Public _•,A1111j1Nl/b41. e C. -yirgili�� o.• �sslo�v .,o votary Public �F,lTB� �• s i�3G.t�ttot CU PERMIT# ISSUE DATE PLANNING & ;DEVELOPMENT SERVICES Building & Code Compliance Division REC�"vv ~ �5 l (Project Street Address or Property I ax 11) 17) 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. CONT CTOR SIGNATURE (Qualifier) W0J0_ PA PRINT NAME COUNTY VERTIFICATION NNMRER State of Florida, County of The foregoes instrument was sign,7d e�foorre met isA3 day of 20Cby V"1'JLf who is personally known _or has produced a as identification. STAMP Signatur Notary Public JO=Wra A ingratgp Print Name of Notary Public PUBuC- STATEP 'FLOAi6A. C -GGU32559 E*res 3/9/2o26 Revised 11/16/2016 /k'A /' SUB -CONTRACTOR SWRATURE (Qualifier) PRINT NAME '5�93'�4 / COUNTY CEB/TIFICATION NVMBER nn State of Florida, County of 1G The foregoing instrument was signed before me this I U y�yof/ 209.b V`�� Irk W who is personally known or has produced a as identification. STAMP 5igna re of Notary Public"'JaseWra P. Ir►c.r�, rti NOTARY F1.11C. LIC STATE.:. PLOP: - Print Name of Notary Public t:Et9� Ei pireb 319f?az l