HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Mike Lang Electrical Cont., Inc
the
(Company NametIndividual Name)
Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
Lucie County
have agreed to be
Sub -contractor for -Radon Mitigation Services, LLC
(Primary Contractor)
For the project located at 7755 Pine Lakes Blvd, Port St Lucie, FIL 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
Gene Yacobacci
PRINT NAME
30341
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
notice.
The foregoing instrument was signed before me this 12th day of
October . 2017, byGene Yacobacci
who ispersonally known X orhasproduceda_
as idenlY(altion.
STAMP
Agnature of Notary Public
Michelle R. Malwitz
Print Name of Notary Public MICHELLE R. MALINM
MY COMMISSION #GG094310
EXPIRES: APR 13,2021
013onded through Ist SW Insuouloo
_V4 C' . rOR S Qualifier)
SUB -
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 120_U , byMichael T. Lang
who is personally known X or has produced a
.fi .
as identi cation.
STAMP
SI�nafure of Notary Public
Michelle R. Malwitz
Print Name of Notary Public
MICHELLE R MALVM
MYCOMMISSli#(313094310
lo EXPIRES; APR 13,2021
Bonded through lit SW Insumnce
Revised 11/16/2016