HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PUAN G&DEVELOPMENT SERWCESI
Building & Code Compliance Division
64 D
__._.._.._.W... BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
lA W M �� c, have agreed to be
(Company Name/Indh idual Name) I
the (c c cti Sub-contractor for e_ ( nI Ue f
(Type of Trade) (Primary ContrActor)
i
For the project located at 8
(Project Street Address or Property T 4)
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.
CO OR SIGNATURE(Qualifier) ACTOR SIGNATURE(Qualifier)
PRIlVT NAME, PRINT•NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
I
State of Florida,County S4-
State or Florida,County of -e q
The foregoing instrument was signed before me this I Off/day of The foregoing instrument was signed before me this IS day of
A 20 '7,by S6.,A ),4" 20p,by
who is personally known le!!:00`or has produced a who is personally known Zr hus produced a
i
as identification. as identification. /�/J
L✓ j' �^__ STA,\4P )/ ct.c f' aiL-✓ STAMP
natlureorNotaryPublic S' 'atureofNotaryPublic
�J 466 y r( �c.le•�o� �cz.c t.,1 }� i�G.+>j.�{s�v�l
Print Name ofNotary Public Print Name of Notary Public
,•`a°`� °���;� JASON M RAULERSON
�a�miai
•1 Notary public•State of Florida .�,,`�v' I���'s JASON M RAULERSON
g Commission I FF 965546 .= Notary P-ubllc-Stateof Florida
MY Comm.Expires Feb 28,2020 Comml$3100 N FF 965546
� ` My COMM.Eltpires Feb 28.2020