HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # T
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
Douglas Electric - Robert Douglas have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Canopy Specialist
(Type of Trade) (Primary Contractor)
For the project located at 100 SE Prima Vista Blvd (3419-540-0241-000-5)
(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.
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGN (QuaNfier)
acareerecesrs
COUNTY CERTIFICATION
�NUM 3ER
State of Florida, County of %'f f b roo-g Z
re The foregoing instrument was signed befome,tkfi 24 day of
Aff-i 1 .2& by S
who is personally known �r has produced
as identification.
VdM. 2AKa STAMP
Signature of Notary Public
F o,,,, MICHELLE MRAZ TEMPLE
R Notary Public -State of Florida
commission # GG 052140
n ' a My Comm. Expires Mar 27.2021
Banded through National Notary Assn.
be advised pursuant to the
sir, r,e
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'lls nit_ A
The foregoing instrument was signed before me tVhls� day of
YI ) .201,by Am �d
who is personally (mown ✓or has produced a
as identification.
�ce �,Cl iLt�.dC�f11� oP
Signature of Notary Public
PrintN e t fe
;`Nl,�,,e MICHELLE MRA2 TEMPLE
�Notary Public -Slate of Fldrlda
�� � Commission # GG 052140
o;= My Comm. Erplres Mar 27, 2021
'%�P,; ;,`,;(" 9onded through National Noluy Assn.