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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT6UANNED BY PERMIT # I I _ 0 4 — ©0 / d N ISSUE DATE — �- PLANNING & DEVELOPMENT SERVICES N Building & Code Compliance Division REC �p IZO e - BUILDINGPERMIT JUIV 2 3 2016 SUB -CONTRACTOR AGREEMENT PER! SITTING St. Lucie County Contractor Certification Number: St. Lucie County, FL State of Florida Certification Number(Irepplicable): 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. Al A 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: _0-wer C.Urrl% Address: City/State/Zip: 3391 NE 6th Terrace Pompano Beach, FL 33064 Phone: 954-782-8930 and W SIGNATURE PRINT NAME STATE OF FLORIDA, COUNTY OF Broward rip email: towercomsvcs@bellsouth.net Clarke 6/9/16 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 9 DAY OF June 2016 BY Richard W. Clarke WHO IS PERSONALLY KNOWN X OR HAS PR DUCED AS IDENTIFICATION. Tammy Baker (STAMP) SIGNA U E OF OTARY PUBLIC PRINT NAME OF NOTARY PUBLIC , .µ TAMMY CIBAKER SLCPDS: 08/06/2014 �? Notary Public - State of Florida 5 My Comm. Expires Feb 12. 201 i Commission # EE 847470 Bonded Through National Notary Assn