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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT ELECTRICALPERMIT # Electric LLC 1807-0628 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT -Y have agreed to be (Company Name/Individual Name) ELECTRICAL Sub -contractor for Trefelner Construction Inc (Type of Trade) (Primary Contractor) F the project located at 3148 S Brocksmith Rd (Project Street Address or Property Tax ID #) It 'S understood that, if there is any change of status regarding our participation with the above mentioned prI ject, the BuildingJ and Code Regulation Division of St. Lucie County will be advised pursuant to the fi#pg of a Change of Sub -contractor notice. CC INTrTOR SIGNA)IM (Qualifier) P UIff NAME C C 1330685 SL# 28600 COUNTY CERTIFICATION NUMBER Stusto of Florida, County of f—f.c l^ Th foregoing instrument was signed before me this day of r II qq wh is personally known �6r has produced a I F V w as 'dentifi�tion. D L_ STAMP of Notary Public Name of Notary Public COLLEEN SUE HAYES Commission # FF 209728 My Commission Expues March 15, 2019 SU&CONT R IGNATURE (Qualifier) 1"ff hi "lw4Y`I"I-EEW� PRINT NAME EC 13006925 SL#29479 COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this d y of ,20nby���+r�-CSL3 who is personally known t/or has produced a as identificatio'n.. (`� j �T —yz ' STAMP Signature of Notary Public C-a [ L49-'N_ Print Name of Notary Public •"""""' COLLEEN SUE HAYES ram® Commission # FF 209728 My Commission Expues ' March 15, 2019