HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTISSUE DATE
PLANNING & DEVELOPMENT SERVICES
B ding* Code Compliance Division
Uil
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number -
State of Florida Certification Number (if applicable): EC13006418
Bradley Conn - Mastee Network Solutions have agreed to be.the
(Company Name/Individual Name)
electric Sub-contractorfor Stanley Maclin - Mastec Network Solutions
(Type of Trade) (Primary Contractor)
For the project located at 6189 N US I - 1406-413-0003-0008
(Project Street Address or-Froperty Tax ID
It is understood that, if there isany change of status regarding our participation with -the:above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No:.004-60)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor'sz License)
NOTARIZED SIGNATURES ARE REQUIRED
St &
Business Name:
Mastec Network Solutions
tjjc . A . e
Address:
6100 Broken Sound Pkwv., Ste. 6
count,,
City/State/Zip:
Boca Raton, FL 33487
Phone:
561-962-9838 email:
SIGNATUVE
PRINT NAME
DATE
STATE OF FLORIDA, COUNTY OF S1. Li4('0
THE FOREGOING. INSTRUMENT WAS SIGNED BEFORE.ME THIS DAY 0 t 20
BY WHO IS PERSONALLY KNOWN
OR HAS
PRODUCED AS IDENTIFICATION. . ..
SIGNATURE O�A' "Y PUBLIC
'SLCPDS: 08/06/2014 1 .
0
PRI NT.N1PEQFNOTA4RYP Ob5'