HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTOISSUE DATE
PLANNING & DEVELOPMENT SERVICESU.
Building & Code Compliance Division
SCANNED JUN 2 3 2016
BUILDING PERMIT BY PERMITTING
AGREEMEN t. Lucie COU&Ucie County, FL
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
EC13004033
Tower Communication Services, Inc. have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for Tower Communications Services, Inc.
(Type of Trade) (Primary Contractor)
For the project located at
3100 N. A1A Fort Pierce, FL 34949
(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: _F0Wer l %z'YIfVuU ,Cfn�OY\ �.,P_`A Ces,.'(\C
Address: 3391 NE 6th Terrace
City/State/Zip:
Pompano Beach, FL 33064
Phone: 954-782-8930 A email: towercomsvcs@bellsouth.net
,� and W. Clarke
SIGNAT RE PRINT NAME
STATE OF FLORIDA, COUNTY OF
Broward
6/9/16
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 9 DAY OF June
BY Richard W. Clarke
SLCPDS:
WHO IS PERSONALLY KNOWN X
AS IDENTIFICATION.
Tammy Baker
PUBLIC PRINT NAME OF
2016
OR HAS
(STAMP)
TAMMY G. BAKER
Notary Public - State of Florida
My Comm. Expires Feb 12, 201;
Commission # EE 847470
Bonded Through National Natary Axan