HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SC M ED
SUB -CONTRACTOR AGREEMENT BY
St. Lucre County
Ascend Wireless Networks LLC/ Garth Dahlberg have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Ascend Wireless Networks, Inc.
(Type of Trade)
(Primary Contractor)
For the project located at 747n_73Rn R Ongenn nrlvp ,Ipncen Reach FI 34957
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
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QONTItACTOR SIGNATURE (Qualifier) L
Alan Zirkelbach
PRINT NAME
CGC1521965
COUNTY CERTIFICATION NUMBER
State of Florida, County of MOA&k e QQ
rd
The foregoing instrument was signed before we this C) day of
ri 1 2017 by f AGA & W10 tc h
who is personally known k<r has produced a
as idenf cation.
STAMP
' nature of Notm Public
I n.r P.L4 n) .s-roVOL ll
Notary Public State of Florida
�,,VP!I4k
Lacey N Stovall
U
My Commission FF 108131
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Expires 04/18/2018
Revised 11/162016
SUB -CONTRACTOR SIGNAT (Qualifier)
Garth Dah
PRINT NAME
EC13007545
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'e
The foregoing instrument was signed before me this J__ day of
,2e,7,byQ �01
who is personally known �r has produced a
as identification. /\/��
y O \ �"�.o- STAMP
Siggnna`ture of Notary Public
Print Name of Notary Public
yro�w„
VERONICA LYNN CARMEAN
-y1 0 , My COMMISSION #FF187738
EXPIRES January 7, 2019
(407( 398-0153 FloridallotarySeivice.com