HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANKING & DEVELOPMENT SERVICES E FE
Building & Code Compliance Division
ull • MAR 3 1201?
BUILDING PERMIT PER"J11TTIiyG
SUB-CONTRACTOR AGREEMENT St. Lucie County F=L
� l 1 LO U 0 C`P IQQ. o have agreed to be
(Company Name/Individual Na )
the 115 Sub-contractor for U)OeC
(Type of Trade) (Primary Contractor)
For the project located at 69-L 0 C: p �
(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 a Change of Sub-contractor notice.
r
CONTRACTOR SIGNATURE(Q li er) SUB-CONTRACTOR SIGNATURE( ua fier) 1
rC/ QJL ��� 0' I l
,wRINT NAME PRINT NAME
D �ra II n c1i/o�'2Y
42OUNTY CERTIfICATION E1R COUNTY CERTIFICATION NUMBER
State of Florida,County of' v State of Florida,County of L,I owb
The foregoing instrument was signed before me this�day of The foregoing instrument was signed before me this day of
,20�,by lb i ,20 I,by 1 ' /h
who is personally known or has produced a who is personally known or has produced a ��. /J•�
as identification. I as identifica-on.
STAMP �� STAMP
Signatu a of Notary Public Signature of Notary Public
/--). i ai"'i
Prifif Name of Notary Print Name of Notary Public
"""""� KAREN S. NIELSEN
Commission 4 Ff- 1156
37
ptr *- My Commission Expires
%oFF�;,.' June 12, 2018 ,,•;RYp"% KAREN S. NIELSEN
_ Commission fl FF 115637
Nr? My Commission Expires
Revised 11/16/2016 p8 Juno 12, 2018