HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT It ISSUE DATE777:1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUn DING PERMIT
SUB -CONTRACTOR AGREEMENT
LAW'S
SCANNED
BY
St. Lucie County
have agreed to be
(Company Nameflndividual Name)
the FLECTRICAL Sub -contractor for WILCO CONSTRUCTION INC.
(Type of Trade) (Primary Contractor)
For the project located at 10701 S OCEAN DR LOT 878
(Project Street 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
filing of a Cha of Sub -contractor notice.
• r
CONTRACTORS[ ATURE(Qunliner)
ROBERT WILLIAMS
PRINT NAME
29115
COUNTY CERTIFICATION NUMBER
slate orFlarida, County of T LUC E
The foregoing Instrument was signed before me Ibis2ldaypoff
20.'1 byMl JAAAIn�.it'.Ji 1_
who is personally known Zor has produced a
ns ldenllRcallan.
STAMP
fin we o Nolnry ublie
Print Name of Notary Public
L
Re
SUB-C CTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER ..^^,,
Slate of Florrdn, County or2ulle— �'7
The foregoing Instrument was signed before metthiss delay or p (�
�^ 20 �f, by DO'W t
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who is personally (mown Zor fins produced a
znli
Z�fi� STAMP
Signature of Notary Public
Print Name of Notary Public
0 My.%?. DAWN FIIZGERALD
_ MY COMMISSION# GG 162348
i '•+�` EXPIRES: December 17, 2021
"':?'....j r goaded Thm Notary Public Underwriters