HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
,y PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- -- —— — BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Co any Name n�i"d a1@ame)?
the _ r-�r I'AL Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at Jr4,Olo Cl�0 f i i./c S 6 i,ee i
&r kleSr r a« FLA 3 951
(Project Stye`eWddas 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 a Change of Sub-contractor notice.
r'CbNTRACTOR'SIGNATURE(Qualifier) $L3B CONTRA*'CCOR SIGNATURE(Qualifier)
PRINT
��N 1AME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER �1 p
State of Florida,County of (� State of Florida,County of C�.�/1,t�'✓ '
The foregoing instrument was signed bef re me this day of The foregoing instrument was signed before me this day of
20 ,by n/ ,204 by Y7+
who is personally known or has produced a who is personally known or has produced a
as identification. as identification.
�� TAMP
Signature of Nota ublicT Sig ture o Notary •c /
Print Name of No Public Print Name of Notaryublic �.
"y'.Y APB r AUDREY B.HUMPHREY
Fagg"j,`y AUDREY B.HUMP MY COMMISSION#FF 174772
HREY EXPIRES:March 6,2019
J,� + MY COMMISSION#FF 174772 �•. as
Revised 11/16/2016 •o EXPIRES Ch 6, e- Nota Publ'cUndenvrters
:Mar 2019 �F Bonded Thru N
p,;1 Bonded Thru Notary Public Underwriters