HomeMy WebLinkAboutSubcontractor Agreement RECEIVE=D JUL 217017
PERMIT# �1 r ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
a have agreed to be
(Compan Name dividual ame)
the /e Sub.-contractor for
(Type of Trade) (Primary Contractor)
For the project located at- ��� 6.�`CA"rF. / 1,ue e
(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.
1�1�� 7Z
R NATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAV PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of-5111!, State of Florida,County of
The foregoing instrument was signed before me this�_day of The foregoing instrument was signed before me this day of
-%13 ,20A by ��r.ge� �rr� t`I'e �� q� ,20_,by
who is personally known or has produced a who is personally known or has produced a
as identification. _ .rzcx. as identification.
DEANNAMARIE G^IVEN,) '
MYCOMMISS1% j12023 s
�- ES:Oecem er� 020 STAMP
Signature of Notary bGc o? Signature of Notary Public
Bonded ThruNotatyPubilcUr,Ga ta_te�
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016