HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# 1704-0071 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. LUCIP (n)ir)fi
Centerline Solutions, LLC / Todd Schlemmer
y a��eed to be
(Company Name/IndividualName) ej� er /Je �YJ/U�°/d'�2s �.[-nc.
the Electrical Sub -contractor for tic G*�-/ Anthony Ankersmit
(Type of Trade) (Primary Contractor)
For the project located at 5167 AlA Hwy, Ft. Pierce, FL 34949
(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. —
CONTRACTOR SIGNATURE (Qualifier) UB-CONTRACTOR SIGNATURE (Qualifier)
Anthony Ankersmit
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Hillsborough
The foregoing instrument was signed before me this l6th day of
June , 2017• by Anthony Ankersmit
wbo is personally known X or has produced s
as identification.
1 Fes-` STAMP
Signature of Notary Public
Debra M. Drury
Print Name of Notary Public
\
,4o. pep,.;
QEBRA M. DRURY
. _
Notary Public - State of Florida
_?
' •e
P`
Commission N FF 973213
�. d^
M Comm: Expires May 28, 2020
y
Revised 11/16/2016
400
Todd Schlemmer
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Hillsborough
The foregoing instrument was signed before me this 16th day of
June 20 17• by Todd Schlemmer
who is personally (mown X or has produced a
a•�ssiidenntif�iccation. In^ � ,� /� �
Y1 e 1C - v Y • `• DY �'�l 1 STAMP
Signature of Notary Public
Debra M. Drury
unma„
�ow'•O�Za,
DEBRAM.DRURY
'milNotary
Public - Stated Florida
CommissionM.FF913213
My Comm: Expires May 28, 2020
ll`'