HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT - PAYAK ELECTRICthe
PERMIT # I I 'ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT RECEIVED
SUB -CONTRACTOR AGREEMENT
SCANNEE) OCT 0 4 2018
BY
Canoe counf3/ ST. Lucie County, Perry
�ZL 1eTIC)C, /�0bL-rt fa" f/fc A
Company Name/Individual Name)
4 ' t C UW ICA Sub -contractor for
(Type of Trade)
For the project located at
have agreed to be
I"oo/S b sz11�9? e
(Primary Cont actor)
(Project Streit Address or Property 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
I
filing jof a Change of Sub -contractor notice.
i
i
CONTRACTO IGNATURE (Qualifier)
I
PRINT NAME
COUNTY CERTIFICATION NUMBER
I
State o0lorida, County of S t • `V CI C
I
The foregoing instrument was signed before me this 'Mb day of
I
20 Imo, by
who is Oersonally known i(or has produced a
as identification.
I STAMP
Signatuire of Notary Public
Print Name of Notary Public
h11� Notary Public State of Florida
A Thomasina Bowins
c e My Commission GG 201733
as Expires 03/29/2022
Revised 11/16/2016
4UB-q0JTyACyZSI NATURE (Qualifier)
PRINT NAME
. 1/ v /
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _a% day of
2011 by V_(S 6C C Y PA y U 1<
who is personally known - or has produced a
as identification. ww 11
�v
Signature of Notary Public
--AT I,� ty,"Ma �,l 6o,&i � 1\5
Print Name of Notary Public
NNotary Public State of Florida
A Thomasina BowiGG,ns
• My Commission ,201733
a� Expires 03/29/2022'"`
STAMP