HomeMy WebLinkAboutSubcontractor Agreement 05/19/2015 15:16 FAX 772460;6929 Tr-7 ` 2001
2015.05-191552 AULTOROTISC 7722890521>5 7724606929 F111
PI:FIMIT$ 1504-0377 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
= Building& Code Compliance Division
- WILDING PERMIT
SU WCONTEIACrOR AGREEMENT
St,Lucie County Contactor Certification Number 16568 _
Slaw of Florida C,crtification Numbcr(1f applicable): EC V V0 69
Michael Dale Ault , have agreed to he the
(Company Name/IndividtW Name)
Electrical Contractor Sub-contractor for 111�Cp Construction
(Type of Trade) _ (Primary Contractor)
For the project located at 65 Aqua Ra Road, Jensen Beach, FL 34957
(Pr( cel Street Address or Property Tax IT)#)
It is understood that,if there is any 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 tiling a
Change of Subcontractor notice. (Foran: SixCT]V(No.004-00)
BIISINESS QUALIFIER (Name of the Individual shown on thn Contractor's License)
\O TARIM)sluv%I l 141:'+,Utl: ItU:(1l IhF.0
Businom Name- _ Ault Bras, Inc. Electrical CoAcractor
Address F0 Box 1525
City/Statclzip: Port: Salerno, FL 34992
Phone, 772-283"5520 rmait; aultbros ahoo.com
Michael Dale Ault
` X;� ATU 1; PRTNTNAME w ATE
STATE.OF FI.ORIAA,covmry or (I )nb c
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS..-__._DAY OF 20—LS
i
By Wito 1.%j irk RSONALLY KNOWN OR TIAS
PRODUCED AS IUF.NTIFICATION.
(STAMP)
-�7 s
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLC:PDS:08MWO14
j ANICA PAUTON
/AN Notary mission grata at4 Florida
Cnmmlgabng FF 1Q6a:8
My calm expires Aug,4,2018
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