HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
East Ocean Electric of Florida
(Company Name/Individual Name)
the Electrician
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for Glotel, Inc.
SCANNED
BY
St. Lucie County
(Primary Contractor)
have agreed to be
For the project located at 3301 Orange Avenue, Ft. Pierce, 34947 / 2408-311-00011-000-0
(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.
- 71Zz 4
CO rCTOR�I NATURE [ Met)
Daniel Ault
PRINT NAME
CGC1522761
COUNTY CERTIFICATION NUMBE'R, ` .
State of Florida, County ofIr�-u-u-bs��.�`1-•
T e foreg oing instrument was signed before fine, thiis d day of
20�/by�vy • 7ZwV
who is personally (mown V or has produced a
STAMP
SUB -CONTRACTOR SIGNATURE (Qualifier)
Robert Koenenkamp
PRINT NAME
�Ca. moo e
COUNTY CERTIFICATION NUMBER
State of Florida, County of Y" `l
The foregoing instrument was signed before me this � day of
f-r �� /�
9y-i L 20 k, by
'abaci,- &'rne iifo (-
who is perso `� or (mown has produced a
as idea ' ratio
( STAMP
ignature of Nothry Public
Print Name of Notart Public
°:_ GARY S,-'at+1TORA �rvp4.. Notary Public State of Flodda
`P Linda Pat0u01a
MY OMM!SSiGN dFF134045 . MyCommission GG 197440
i,.?a` �(PIRES June 18, 2018 gyp Expires 04107MO22 e;
Revised 11/16/2016 Floritlallot Service.u�m �p1ri
(anr) 39a-0153
s
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ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
i
Building & Code Compliance Division
0
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Cv-s�om 7 1owl Ina 2'anox 6 :CC_ have agreed to be
(Company Nameflndiv' ual Name)
the ' Sub -contractor for G1Otel, Inc.
ype of Trade) (Primary Contractor)
For the project located at 3301 Orange Avenue/2408-311-0001-0
(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.
i
corfrmcrOlt SIGNATURE (Qualifier) S B- RACI'OR SIGNATURE (Qualifier)
��/� r �� a
PRIN NAME PRINT NAME
CGC1522761
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me tbis2 6 day of
V 20L by
who is personally known V/or has produced a
as identification.
eFC lgl270/5
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day oof'Q,
M r`A(Ok , 7olL3 by�A-
who is Personally known W"'or has produced a J
as identification.
n�
lFli�i�%(flt(>L
p ���" p°�a••�s�n
LiYIVl� �,Cq
GIMNAACKERMAN
MYCOMMIMNFFism
C�Q/ri/�ly( �%(,%�
STAMP
Signature of Notary Public
EXPIRES: October 21,201E
Signature of Notary Public
` +'t'orr,,�*°'
Bonaeamre eudgpl NegySfnlres
Y
"R po
G i r� ,�
r <� u rn a n
' ca Q
° • B�
MANNA ACKERMAN
Print Name of Nomry Public
Print Name of Notary Public
* * MYCOMISSION/FFISSM
EXPIRES: Oetaber2l, 2018
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BOMT11111 8010tiohrySeA9czs
Revised 111162016