HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
— - --� - - — --- - - BUILDING PERMIT SCgNN
SUB -CONTRACTOR AGREEMENT St 44cie co n0
�Dtel ZDiJ POOL 5 IiJC have agreed to be
( y Name/Individual Name) �) _
the /U/))&//gL7 Sub -contractor for 17,PkIZd/J �dD15-Ze—
(Type of Trade) (Primary Contractor)
For the project located at 5703 01eq7JDe,.-- 4r 1 '97
(Project Street Address or Property Tax ID 9)
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.
UaAACG 3
CONTRACTOR SIGNATURE(Qualifier)
>C M alKY-c',
PRINT NAME
a9-38")-
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4i4—Lad4• -
i
The foregoing instrument was signed before me this _ day of
be6 zo_qby /"1?bs 1A 6/444C
who is personally known _ V�or has Produced a
STAMP
Revised 1111612016
aA ME�
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of &vc;e
The foregoing instrumentmas signed before me this L/ dayof
J ice' zo /ff by AMb E MI 2 /+/c k c
who is personally (mown or has produced a
as identification.
STAMP
PERMR # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
o
= Sailding & Code Compliance Division
r _ BUILDING PERMIT
SUB=CONTRACTOR AGREEMENT Scq
St 41° e ),
�OUn�v
Ed's Electric Inc have agreed to be
(Company NameAndividual Name)
the Electrical Sub -contractor for 1, n061 S
(Type of Trade) (Primary Contractor)
For the project located at
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 willbe advised pursuant to the '
Ming of a Change of Sub -contractor notice.
CO _ /CFOOR� GNATTURE (Qualifier)
PRINT
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S+ LIAC4 e,
Theiorcgoing iastrumcut was signed6efore um this.:�f dayot
�'�C ,20 i$hy 1:11 n1 Clt}f1ICt
whole personally knovvn v orhasproducedn
as identltkadon ,_,,
t)JA -- STAMP
Sig re of Notary Public
Print Name
6
7ATp OX011JDA
rEx¢ires 3I9/2020
SUB-CONTRACTOR.SICNATU7 t cr)
Ed's Electric Inc
PRUVT NAME
1'0892
COUNTY CERTIFICATION NUMBER
State of Fturida, County of.St Lucie
The fo. fnstru 2 gued before
C.tdy of
who is personally koim,,�<-ar has produced a
L'riRn,,:�If�:9U',.TltlrTiyL±;?r�7
. Realised 1111h2016,' ..: ;