HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENT - ELECTRICALPERMIT # ISSUEDATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
F
BUnDING PERAW
SUB -CONTRACTOR AGREEMENT
Es
(Company Name/Individual Name) l
the Z L, l r 7—R I ci A fy Sub -contractor for
(Type of Trade) ,
For the project located at r DD% 5: --r:A
(Project Street Address or
SCANNtV
BY
St. Lucie rmint,
have agreed to be
`" n C a o; T rh 86Z-21- S
(Primary Contractor)
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
Sling of a Change of Sub -contractor notice.
,�;?1G 71
COUNTY CERTIFICATION NUMBER
State of Florida, County of J 1 • C
The �foregoing instrument was signed before me twa—d alay or
j
SUB-CONTRACTOR SIGNATURE (Qualifier)
(_.hp:S RiC1(-IC:mJ
PRINT NAME
Ec-1,30oSwb0
COUNTY CERTIFICATION NUMBER
State of Florida, County of M a rti n I S-F
The foregoing instrument was signed, before me this day of
US'f 20 Q by "lr+;S. Rk-n9 r,&%J
who is personally knowv or has; produced a who is personally (mown X or has produced n ) t-DL—
as identification. as idea' Mention. ,
STAMP STAMP
Signature of Notary Public Sigmtu of Notary Public
l/,.•, /�o �✓a e� fv kv' isti n a Ma-rh i s o n
Print Name of Notary Public Print Name of Notary Public
+: WILLIAM H DONOVAN JR
;• � i'c MY COMMISSION fFG0093578 KRISTIN0.MATHISON
�'G ,r• EXPIRES April 12. 2021 �� °m Notary Public. State of, Florida
Commission# GG 32638
Revised 11/162016 My Comm: expires Sept. 26, 2019