HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSPERMIT# ' 003 ISSUE DATE
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BY
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DOUGLAS DANKNER
G & DEVELOPMENT SERVICES
.ing & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)'
the ELECTRICIAN Sub -contractor for RAYMOND MEAD
(Type of Trade)
(Primary Contractor)
For the project located at 10761 SCHWAB RD. FORT PIERCE, FL 34945
(Project Street Address or Property Tax ID #)
have agreed to be
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.
CONTICACTOR SIGNATURE (Qualifier)
i
RAYMOMD MEAD
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of o zq 91a- i
The foregoing instrument was signed before me this day of
Ai�«, ,2oby RAYMOND MEAD
who is personally known 1! or has produced a
as identification.
Signature of Notary Public
C�,v /via �+ Co�r6s
Print Name of Notary Public
— SUB-CONXFaCTOR S GNATURE (Qualifier)
DOUGLAS DANKNER
3RINT NAME
COUNTY CERTIFICATION
State of Florida, County of VVII.—
The foregoing instrument was signed before me thid!,F day of
20%, by DOUGLAS DANKNER
who is personally known ,4—or has produced a
as identifica '
STAMP . S
Signature
lolf Notary
lPublic
,� —
Print Name oMotary Public
00A Notary Public State of Florida
`F WANDA CORTES 0;401 %w* Notary Public State of Florida
O ��My Commission GG 136238 ; POLLY ALVAREZ HENANDEZ
Expires 08/20/2021 My Commission GG 125150
0 Revised II 6/ �no Expiree07/17/2021