HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# �S/ ^ W--& ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance DivisionFRECEIVBUILDING PERMIT SUB -CONTRACTOR AGREEMENTrmittin
WANNUi
BY
DOUGLAS DANKNER StLud�cnllnt,
have agreed to be
(Company Name/Individual Name)
the ELECTRICIAN Sub -contractor for RAYMOND MEAD
(Type of Trade) (Primary Contractor)
For the project located at 5001 E Seminole Rd. Fort Pierce FI, 34951
(Project Street Address orjProperty 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 pursuant to the
filing of a Change of Sub -contractor notice.
COPOACTOR SIGNATURE (Qualifier) SUB-CONTRXCTOR SIGNATURE (Qualifier)
RAYMOMD MEAD
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 0 01 0__
The foregoing instrument was signed before me this / 'I day of
20&- by RAYMOND MEAD
who is personally known --L-.r has produced a
as identification.
Signature of Notary Public
GcJd+ ►J ,f".i9 G''C eras
Print Name of Notary Public
DOUGLAS DANKNER
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 �1 M hJQk C'C
J� -I /ILL
The foregoing instrument was signed before me this day of
2d5�by DOUGLAS DANKNER
who is personally known ✓ or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
000 Notary Public State of Florida
49 WANDA CORTESFMIorlda
,�� • My Commission GG 136238 =Pubkte of DEZ4a �� Expires 08120/2021 H 0 12511Revised 11/16/2016 21 12515021
STAMP