HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # I / -Q (o _ 6 2/ 5� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• - UILDING PERMIT SCPH
ANNED
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SUB-CONTRACTOR AGREEMENT , , Cooky
St. Lucie.
P & S ELECTRIC, INC. have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for GREAT DANE PETROLEUM CONTRACTORS
(Type of Trade) (Primary Contractor)
For the project located at 5000 FEEDER RD., FORT PIERCE, FL
(Project Street Address or Property Tax TD #)
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.
CONTRACTOR SIGNATURE (Qualifier)
STEVEN M. NALE
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of BROWARD
The foregoing instrument was signed before me this / dayof
'-;r4'41C 2V.,Y y STEVEN M. NALE
who is personally known Y or has produced
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— Identin caHon. o
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Signature of Notary Public
MARIO A. GOMEZ
Print Name of Notary Public
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Revised 11/162016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PEDRO J. SARABIAo
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of BROWARD
The foregoing instrument was signed before me this / day of
TGim� 20/6 PEDR0J.SARABIAo
who is pusonally known _or has produced a n _
as identification.
Signature o tl(ary Public TAMP
MARIO A. GOMEZ
Print Name of Notary Public
MARIO&GOMEZ
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<`> EXPIRES: Naven0er4 2021
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