HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT#
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCA/VIVED
St. LjJcP?
le C0147tV
Mike Lang Electrical Cont., Inc have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Radon Mitigation Services, LLC
(Type of Trade)
(Primary Contractor)
For the project located at 7749 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 Change of Sub -contractor notice.
V_ -
CONTRACTI)R YNATURE (Qualifier) SI ;dE (Quidifier)
Gene Yacobacci Michael T. Lang
PRINT NAME PRINT NAME
30341
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this 12th day of
October ,2017, by Gene Yacobacci
whoispersonallyknown X orhasproduced
as identification.
4'/Z7'.0 STAMP
,ftimithre of NotaryPuliffic
Michelle R. Malwitz
Print Name of Notary Public MICHELLE R MALWrrZ
MYC0MWSSI&#GG0943l0
EXPIRES: APR 13,2021
Bonded thmugh lot State Insuiance
30342
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
T he foregoing instrument was signed before me this 12th day a
October .201Z, by Michael T. Lang
who is personally known X or has produced a
in idenq*fica on.
STAMP
09nature of Notary Public
Michelle R. Malwitz
Print Name of Notary Politic
MICHELLE R MALWHZ
MYCOMMISSI
GO94310
EXPIRES: APR 13,2021
Bonded Unugh l6tStale lasurdnee
Revised 1111612016