HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# T1706-0166 ISSUE DATE 07/31 /17
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St I UciP (` inter
EDWARD W. AIRS have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for GREAT DANE PETROLEUM CONTRACTORS
(Type of Trade) (Primary Contractor)
For the project located at 10975 S OCEAN DR., JENSEN BEACH, FL
(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)
STEVEN M.NALE
PRINT NAME
OBC045595
COUNTY CERTIFICATION NUMBER
State of Florida, County of BROWARD
The foregoing Instrument was signed before me thig-7/day of
.201Zy STEVEN M. NALE
who is personally known X or has produced
Q.0
SUB -CONTRACTOR SIGNATURE (Qualifier)
EDWARD W. AIRS
PRM NAME
EC0001046
COUNTY CERTIFICATION NUMBER
State of Florida, County of BROWARD
The foregoing Instrument was signed before me tbls.=�R/day of
fit/ 20/�y EDWARD W. AIRS
who is personally known X or has produced a
as identification. as identification.
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Slg..t.ro
e . STAMP S `• STAMP
c - Signature of Notary Public
-MARIO A. GOMEZ
Print Name of Notary Public
+. ;$�?, MARIO A. GOMEZ
E ComMsslon# FF 034473
1? ` Expires November4, 2017
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Revised 11/16Q016
MARIO A. GOMEZ
Print Name of Notary Public
gs MARIOA.GOMEZ
Commission # FF 034473
a€ Expires November 4, 2017
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