Loading...
HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT851971_A2P0322 TMO-700 SCANNED PERMIT# I I Looms l ©0(D'j I ISSUE DATE PLANNING & DEVELOPMENT SERV EPLIED W Building & Code Compliance Division FEB 0 3 2016 BUILDING PERMIT PERMITTING SUB -CONTRACTOR AGREEMENT St. Lucie County, FL St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): ELECTRICAL CONTRACTOR (Type of Trade) For the project located at Name) Sub -contractor for GLOTEL (Primary Contractor) 10410 S. OCEAN DR. (Project Street Address or Property Tax ID #) have agreed to be the 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: SIGNATURE PRINT NAME A DATE STATE OF FLORIDA, COUNTY OF THE FOREEGO�ING IN>STRUM�EENT WAS SIGNED BEFORE ME THIS pU DAY OF OCi � 2020—�� BY fL (Ft r 1P ��M/� WHO IS PERS ALLY KNO OR HAS PRODUCED AS IDENTIFICATION. ICJ ' Ci bn ,�, 2, �a?zu,k SIGNATURE O OTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 Igo% Commission # FF 110250 tt My Commission Expires 'M,,,,,,roo'F April 07, 2018 11