HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT`q 135Xcoui
PERMITS 1 H05-0660 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• r
-- - -- BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
t T�� I C'Li 2 Y1Y� 1G t -e'y have agreed to be
Company Name/IndividualName)
the ELECTRICAL Sub -contractor for
(Type of Trade) (PrimaryContractor)
For the project located at 6189 NORTH US 1, FORT PIERCE, FL 34947
(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.
COUNTY CERTIFICATION NUMBER
State of Florida, County o& M1 i0\_P
The foregoing instrument was signed before me this L 'dey of
•20_%by j)CIO1�
who is personally known J_ar has produced a
as identification.
4_�'�2
SUB -CONTRA OR NATURE (Qualifier)
C�'-tL2�Ct i 5-e,4r-
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County o })dQ.
The foregoing instrument was signed before me this I _151v of
J L1- t �:41_.2b_bby G-A�-t 1yN I!_O► ae4—
who is personally known 1-or has produced a
asidentification.
STAMP_Y�Q �O �� ,ram STANIP
`siglarnaturc of Notary Public
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PrintNomeor, t Public
oto of t'lodee
Revised I i/162016 REg
n GG 107386
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