HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERriA1T#'/'-y/GLOty� \'-ISSUE DATE -
- — PLANNING &.DEVELOPIVMW SERVICES
Building &.Code Compiianee•Division
— - atmon�tcruaT .st;HNNED
SUB -CON RACTORAGAEEl11ENT BY
�tlude County
Ascend'Wteless Networks, LLC / Garth Dahlberg hawagreed;fo be
(Cornpany,Narna&dividual Name)
the. Electrical ..Sub -contractor :fur end NHreiess Networks, tncJA1anr7J*8fta h
('type "of Trade)`- (Primary Contractor)
For the project located at 21715 Orange Ave. Fort Piece;. FIL34945
(Project Street Address_"or Property Tax ID'#)
It is understood',that;-if there is any change ofstatus regarding our participation with the above mentioned •,
project, the.Building and Cocld'Regulation Division dfSt. JWcie.Counry will be advised,pursuant to the ,
filing of a Ghangeof Sub -contractor notice.
C"Oh7
COON RACMRSIGIYATURE.(QM.MM.)
•, i1 R_. TURE.(Qa>pner).
Alan Zirkelbach
Garth Dahlberg
PRIh7NAME .
: ; PBLIT NAME
CGC1521965 -
EC13607545
collnrrY CERTIFICATION NU 1@ER
COUNTY CERTIFICATION NUMBER,':, -
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PrWI Name of NotaryPab➢c. --"
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YEflt)PIICA LYNN CAR MEAN
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Reviser! I IA62016v;
EXPIRES January 7, 2019
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ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
R E:C ESE
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT APR P O 2917
oUANNED Public 'kVC '
BY St. Lucie Cnu
Ascend Wireless Networks, LLC/ Garth Dahlberg ;t Lucie County 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 91715 Orange Ave Fort Pierce FL 3494.9
(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.
k
$N,TWCTORSWATURU (Qualifier) SUB -CONTRACTOR SIGNATUR ualifier)
Alan Zirkelbach
PRINT NAME
CGC1521965
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4 P'-f ri
The foregoing instrument
was signed before me this��3 day ofh
201, by ('I 1 hi
OW ' fLQU-_� `
who is personally known "r has produced a
as identifcation
I,AnatdFe of Notaro Public
_ILJt Jtu 0 Pri `b(:fr}iPhlfti
'p^ Notary Public Stateof Flotilla
Lacey N Stovall
My Commission FF 708131
(:xpires oa/18/2018
4ss`d
Revised 11/16/2016
Garth Dahlberg
PRINT NAME
EC13007546
COUNTY CERTIFICATION NUMBER
State of Florida, County of
'the foregoing instrument was signed before me (big `1`L I�day of(
20V,by C06S44,Z lrf.� f7iC
who is personally knownor has produced a
as identification.
STAMP j91�A-�� STAMP
Signature of Notary Public
--A -2(2ln l ca- "a('Il� h
Print Name of Notary Public
/fie.- "•'4� VERONICA LYNN CARMEAN
MY COMMISSION#FF187738
jK' e•/
,!fEXPIRES January 7, 2019 '
(401)39"l 53 FloridallotaryServim.com