HomeMy WebLinkAboutSubcontractor Agreement 06/10/2015 16:51 1 _ ELITE ELECTRIC INS_'-,__, PAGE 01
RECEIVED JU 1ar�
PERMIT# t 15 D(O ISSUE DATE
d a„� PLANNING & DEVELOPMENT SERVICES
W
BuiIding & Cade Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: 28930
State of Florida Certification Number(If applicable): EC13006036
Elite Electric & Air, Inc. / John A. Pankraz have agreed to be the
(Company Name/Individual Name)
Electric Sub-contractor for FirSt Choice Plumbing/ Joe Duran
(Type of Trade) (Primary Contractor)
For the project located at O$�D (� � � d”` �J Q.RS2 A
(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, I will immediately advise the Building and Zoning Department of St.Lucie County by filing a
Change of Sub-contractor notice.(Form: SLCCDV(No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: 407t 011 CJXI(l ? .�R/G '
Address: 1691 SW S Macedo Blvd.
City/State/Zi : Port St. Lucie, FI. 34984
Pho 2-340-3797 email: NancyL@EliteElectdcAndAir.com
John A. Pankraz 6/10/2015
PRINT NAME DATE
STATE OF FLORIDA,COUNTY OF St. Lucie
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 0th DAY OF June a 2015
BY John A. Pankraz WHO IS PERSONALLY KNOWN X OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
l NancyLee Langford ;4p
NANCY t.l~E LANGFORD
PRINT NAME OF NOTARY PUBLIC MY COMMISSION#EES30242
SIGNATUI&OF NOTARY hBLIC = ,
�, ,. EXPIRES October 12,2016
SLCPDS:08/06/2014 (4 7)sae otSa r�o taNar� an,ica.com