HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTISSUE DATE
PERMIT #
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie County
e Electric have agreed to be
(Company NameAndividual Name)
the Electrical Sub -contractor for John Jacobs Construction, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 5501
Ft. Pierce, FL ID #2407-321-0001-1
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
Ming of a Change of Sub -contractor notice.
COTTOCO CTOR SiJC ATURE(Qualifier)
��ii1 I -G�yrYs
PRINT NAME
I g2�f5
COUNTY CERTIFICATION NUMBER
State of Florida, County of 57• LUuA
The foregoing instrument was signed before me this 13 day of
,Se�hW �20f�,by Jo�fKQaacobs
who is personally k�nowwn ✓r has produced a
mid
li�✓(/r"T 4NC.G�✓ STAMP
Signature of Notary Public
Print Name of Notary Public
;i0 PATRICIA STEVENS
Revised 111162016 ';'',,,JJJ���,,, "
MY COMMISSION # GG023715
EXPIRES September 19, 2020
yT
19055 EC #0002956
COUNTY CERTIFICATION NUMBER
State of Florida,County of St. Lucie
The foregoing instrument was signed before me this 13th day of
September 2017, by John M. Applebee
who is personally known V or has produced a
as identification. j\�)
STAMP
Signathre of Notary Public
Melissa Parramore
Print Name of Notary Public
�. MELISSAPARRAMORE
^� Notary Publir-StateafFWda
s. • Commusfon#GG126946
My Comm Explas Jul 23,2021
*,„�As••' ewdseawu�a,nmawunnzn.
FMIT# /q/0
-003,5- ISSUE DATE JO-03-a0l'1
COU`ryr'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance ]Division
BUILDING PRIZAVT
SUB-CONTRACTORAGRBEMENT
. re e.rak S(M) l'(es
the Sub -contractor for
(Type of Trade)
For the project located at -55-0 ( D ( arL I •e
(Project Street Address ro
have agreed to be
�I
Jokh �ir G<.C()63 6,bd rt.cGTl-orl TtO
(Primary Contractor) GJI`ke
rUri-d�l'erce �L Plec�rt`��
Tax ID 0)
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.
(fa(f o ya/
COUNTY CERTIFICATION NUMBER
State of Floridu, County of 51 Cl e
Theforegoing instrumentwassigned before methis (P dayof
10C*1ber .20aby JOGt� Tr, cobs
who is personnlly]mewn %�/or has produced
nsfdentifi`/
Signature eof NotiryPublic
c , `� SnI=Ve/ r
Print Nnme of Notary Public
PATRICIA STEVENS
MY COMMISSION 4 GG0237151
Revised 11/16/2016
C'_umk_ PJ _Nufc�
PRINT NAME
COUNTY CERTIFICATION NUMBER -
Stateofmorida,Countyof ` &6ui:r
The foregoing instrument was signed before me this If dayof
C Y_. 01e.r - 20 \' by l Qn ryc& �:�U.�
who is personally (mown _SGoz has produced a
is identification.
STAMP �i,c[)r .E% L ql )e� N`t ST IP
St ature of Notary Public /�
CGvof t 6
Print Name of Notary Public
WIPEDUARDA RPESDA SILVAY COh1MISSIDNyfFP118280IXPIRES:41AR24,2079dztlthrough 1St State Insurance: