HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
s J Building & Code Compliance Division
_ SC N[ ED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT St. LuC1e C011rlty
St. Lucie County Contractor Certi&cation Number:
State of Florida Certification Number (if applicable):
EC0002815
JOHN W. MATTHEWS, JR FOR A&M ELECTRICAL CONTRACTOR LLC have agreed to be the
(Company Name/Individual Name)
ELECTRIC Sub -contractor for ALUMINUM PLUS
(Type of Trade) (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:
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CNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED` BEFORE ME THIS t DAY OF k)t-k 120 %S
A'
BY _ _10k,M V0 M13),CW 3 39— WHO IS PERSONALLY KNOWN o_ OR HAS
PRODUCED AS IDENTIFICATION.
(�3U6 0 (STAMP)
SIGNATUREO N TARYPUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS:08/06t2014 LESLIE COLLETT
Commission N FF 162644
My Commission Expires
,' °� September 24. 2018