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PERMIT# 1601-0071 1
ISSUE DATE 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
EC13002872
SGANNEb
BY
St. Lucie Cnuntl
J.Crompton Electric, Inc. / Jonathan Crompton have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for J.Crompton Electric, Inc. / Bradley Schehr
(Type of Trade) (Primary Contractor)
For the project located at 375 E. Midway Rd.
(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: J. l Y 1 'i_
Address: 1290 Old Corigress Ave.
City/State/Zip:
Phone:
West Palm Beach
561 5886559
email: Permitting@Jcromptonelectric.com
C � Jonathan Crompton
SIGNATIAM PRINT NAME
STATE OF FLORIDA, COUNTY OF
Palm Beach
4/28/16
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 28 DAY OF April
BY Jonathan Crompton WHO IS PERSONALLY KNOWN X
PRODUCED
�'TIRE 13F NOTARY
SLCPDS: 08/06/2014
AS IDENTIFICATION.
Dylan Washburn
PRINT NAME OF NOTARY PUBLIC
2016
IV"Wi M4
fit. r: DYLAN D. VJASHBURN
Commission # FF 123287
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