HomeMy WebLinkAboutSUBCONTREACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SGANNED
BY
RM
A BUILDING PERMIT 3f, LtJ County
AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
EC0002815
JOHN W. MATTHEWS, JR FOR A&M ELECTRICAL CONTRACTOR LLC
Name/Individual Name)
ELECTRIC
(Type of Trade)
have agreed to be the
Sub -contractor for ALUMINUM PLUS
(Primary Contractor)
For the project located at 6315 N US HWY 1, FT. PIERCE
(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 SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
email:
I&W I,) MAM414EW5 ,J gn: (-g-15
NATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF V bt 1)510r'
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS % r. DAY OF J ()NE 20)S
BY 36".] W AArrabEWS J F_ WHO IS PERSONALLY lKNOWNjr OR HAS
PRODUCED01 AS IDENTIFICATION.
LISu€ ^� (STAMP)
SIGNATURE OF TARYPUBLIC PRINT NAME O(FNOTARY PUBLIC
SLCPDS:08/06/2014 LESLIE COLLETT
ffCommission i FF 162re5
MV Commission Expires
September 24. 2018