HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Mike Lang Electrical Cont., Inc
(Company Name/individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie Countv
have agreed to be
Sub -contractor for -Radon Mitigation Services, LLC: —
(Primary Contractor)
For the project located at 7773 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.
CONTRACTOR SIGNATUV tQualifier)
Gene Yacobacci
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 ....17 byGene Yacobacci
whoispersonallylonown X orhasproduceda
SU4-tONTRACTOR SIGNA
,19KVMnalifler)
Michael T. Lang
PRINT NAME
30342
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this 12th day of
October .201Z, by Michael T. Lang
who is personally known X or has produced a
as Ideptification. as identification.
haw���_ STAMP Z4 W4�� STAMP
/Signature of Notary Public Sikbatdre of Notary Public
Michelle R. Malwitz Michelle R. Malwitz
Print Name of Notary Public w.;Z--�l1M%IdALVM Print Name of Notary Public __
F. WCOWN10 #GGON310 micHELLE R. MALWU
E)PRES: APR 13.2021 MYCOMMS81011#0094310
13
PAY X= ! 13,21321
24W Banded UnduO lit SW InsuMNO EXPIEEMAPRI 20P21M
B Mugh 16t M IW=e
anded'MUO 16t M Idea=
Revised 11/1612016