HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATEI
h k PLANNING & DEVELOPMENT SERVICES
5 = Building & Code Compliance Division SCANNED
0
BY
BUILDING PERMTI'
St. Lucie County
SUB -CONTRACTOR AGREEMENT
St..Lucie County Contractor Certification Number: 0 to
State of Florida Certification Number (Ifappli--ley E L 13 00 E5-1 %
Wire Nutz Inc. have agreed to be the
(Company Name/Individual'Name)
Electrician Sub -contractor for Welch Tennis Courts, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 13400 Gilson Road Palm City, FL 34990
(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 imr6ediately 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)
NOTARIZE D SIGNATURES ARE' REQUIRED
BusinessName:
Address:
City/State/Zip:
Phone: 7 l Z 0000
email: VILIQcU!g0l, Cv
�; 442nj (1•sWu�1J . L(Abur+1icy
SIGNATURE I PRINT NAME
a /�
DATE
STATE OF FLORIDA, COUNTY OF : + LkCe Co<.,V,-- J
THE FOREGOING INSTRUMENT WAS SIGNED' BEFORE ME THIS � DAY OF 3 ,A Ae- , 20 1 tP
By L r c L e-(- o� r n Z c v WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
a (STAMP)
SIGNATURE•O NOTARY PUBLIC PRINT NAME OFNOTARY PUBLIC
5LCPDSh 08/06/2614 CHRIS L WOOLLEY
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+�= Eitd&11:. 1.'096403 '`;? EXPIRES February 26.2018
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