HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTAccurate Electricr '_,-nt.
772-878-2854 p.1
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
� SCANNED
• BY
BUILDINGPERMIT
GRE St. LUCIe Coonr
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. 1 upC, 1
State of Florida Certification Number ffappticabie): 671 COO 3O 7r�
f-teco r2A'rE kLzc'7R1CA( UAJT9 CTif6 A WC have agreed to be the
(Company Namgdividual Name)
_ LECTP4 CA- I Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIf;NA
Business Name:
Address:
ARE REQUIRED
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City/State/Zip: rag, S-r Lvci6, Pi- 34f95D
Pho -7- 370-575.6 email: DCV'RkA" 2+ffj A16/
ARTTHy2 EAJ6FL f&A!N
TFFILORIDA,
PRINT NAME DATE
COUNTY OFr
THE FOREGOING INSTRUMENSIGNED BEFORE ME THIS _ DAY OF
BY _ WHO IS PERSONALLY
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTAR PUBLIC PRINT NAME OF NOTARY UBLIC
SLCPDS: 0810E/2014
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