HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
- PLANNING &DEVELOPMENT SERVICES
04 �MX Building & Code Compliance Division
•
BUILDING PERMIT
SUS-CONTRACTOR AGREEMENT
�1-c U eac� QS�LL.0 c,�sAc 1a\� °sem e C�Ci,c�_- have agreed to be
(Company Nametlnd� ivi ual Name)
the e ce-A-rieal Sub-contractor for kZAD"-4- A-1- lne L"WIL
(Type of Trade) (Primary Contractor)
For the project located at 4949 kNLQ!j A r
(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 ge of S -c tract once.
COMMACTOR SIGNATURE(Qualifier) CTOAR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
c2q/69
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUM/BER
State of Florida,County of_[eI-� State of Florida,County of,ctlA IQ��l41Qs f
x dC _.
The fvrcgoinglnstrument was signed before..me this `.J day,(off The foregoing instrument was signed before me this day of
qk6�,2033 by RrAi � . i31 . AA cd ip kQ _ '20-11k, Swe e n A_R&(O al —
who is personalty known Vor has produced it who is personally known Zor has produced a
as identification. tion.
-\- f" �a + NotaryPublicState of
�p o�mmi g!wn FF 07 STAWW
t atu of Notary Pub c Y gnatur fNotary Public
� Expires 11/2012017
t ;7I 1 H:) E 001
Print Name of Notaryb c Print Name of Notary Public
Caltiin Elizabeth cote
NOTARY PUBLIC
STATE OF FLORIDA
Rc%dsed 11116/2016 Ccmra#FF109138
Eltptres 2112/2019
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