HomeMy WebLinkAboutBuilding Permit Application (2) Oct 03 17 11:31 a JBR Exteriors Inc. 7728716377 p.1
PERMIT# ��® � ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
Building& Code.Compliance Division RECEIVED
- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT OCT. 0 3 2017
PERMITTING
St. Lucie County, FL
have agreed to be
(Company Nametindividual Name)
the Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at (G%G '7 %�t I: ; l i AT
A�'J'' ILI 7
(Project Street Address or Prope 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.
CONT OR SIGNA (Qualifier) SUB-C NTRAC O SIGNATURE(Qualifier)
J��yru�� �L��1n]Uti Lk(u_ro IAM �J4?t��Dti
PRDVT NAME PRINT NAME
C_163C 24-068 LI2r<�o {Q�7
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County State of Florida,County of.--r 41 tr
The foregoing tostrument was signed before me this day of The foregoing instrument was signed before me this day of
LI 7 ,20/7by - C i .24L by.
who ks personally known lZor has produced a who is personally known or has produced a
as idenli qoa. as idea' op.
:1
STAMP t STANW
" t
of Notary ubric St re of Nddry Public
Print Name of Notary Public P int Name of Notary Public
REEK]
c State of Flarideane G 0208 te or Floridasion GG 020879612020 RiEK]Alberim
G 020879
Revised 1 1 1 611016 0
� 41)z
7/ /S79