HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTI
PERMIT # ISSUE DATE
I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
WiM E -1
(Company Name/Individual Name)
the Electrical Sub -contractor for
(Type of Trade)
For the project located at 21 Octavio
SCANNED
BY
St Lucie Col
have agreed to be
MaGi-Pr Crafi- Aluminum PrQd=tS
(Primary Contractor)
(Project Street Address or Property Tax ID #)
It is and rstood 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.
CO T S NATURE (Qualifier)
Jef f I Jackman
PRINT NAME
Scc131150586 -25584
COUNTY CERTIFICATION NUMBER
State of Flo rida, County of St. Lucie
01
:7��r
CTOR SIGNATURE (Qualifier)
J h a w V\J
PRINT NAME
a ( __? I I
COUNTY CERTIFICATION NUMBER
State of Florida, County of S 0'1 Al 'T L-uG C f
The foregoing instrument was signed before me this 2 6 day of The foregoing instrument was signed before me thisZ� day of
Nov. , 20 lay Jeff Jackman N61-ewltpe-2 , , 2d , by
who is personally known X or has produced a who is personally known or has produced a rl. 6f � J 44,
as identification. as identification. V �-
1� (o' STAMP STAMP
Signature of NotaYy Public Signature of W7Tublic
Sheryl D. Moore
Sheryl D. Moore NOTARY PUBLIC
Print Name of Notary Public STATE OF FLORIDA
Comm# FF942352
Expires 1 /1512020
Revised 11%16/2016
e&-+�-v Vt"J�shc,V'\ ervJ- 4;C rs
Print Namd of Notary Public
A KATHY J. b9fi�SH01�HENDRICt(S
Notary Public, State of Florida
Commission# FF 199356
My Comm. expires Feb. 12, 2019