HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Mike Lang Electrical Cont., Inc
Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for -Radon Mitigation Services, LLC
(Primary Contractor)
For the project located at 7207 Pine Lakes Blvd, Port St Lucie, FL 34952
(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 CThle,,,o,f Sub -contractor notice.
CONTRACTC
Gene Yacobacci
PRINT NAME
30341
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before we this 12th day of
October 2017, by Gene Yacobacci
who is personally known X or has produced a
as iden tendon.
STAMP
,,61geature of Notarf Public
Michelle R. Malwitz
Print Name of Notary Public MICHRU R. MALWITZ
MY COMMISSION #GG094310
EXPIRES: APR 13, 2021
Bonded Mrough I it State Insurance
SUB.4ONTRACTOR
,:��RE (Qualifier)
Michael T. Lang
PRINT NAME
011CSKA
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this 12th day of
October 12017� by Michael T. Lang
who is personally known X or has produced a
as identil"cation.
1114 70� STAMP
Siinature of Notary Pilblic
Michelle R. Malwitz
Print Name of Notary Public
(aMICHEIJ.E R. MALVM
MY COMMISSION #GG094aio
EXPIRES: APR 13,2021
llonded Burouoh lit State Insurance
Revised 11/16/2016