HomeMy WebLinkAboutSubcontractor Agreement PERMIT# 1�01L ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance DivisionCOUNTY RECEIVED
• BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAR 0 9 2018
ST. Lucie County, Permitting
have agreed to be
(Company Name/Individual Name)
the LF,-e { r,' t 9 Sub-contractor for Ta L M c M N✓ CBw N J
(Type of Trade) (Primary Contractor)
For the project located at Z--S-S y+1 y rM 1 r. /=,j P.-C.-CT 2c - 3 Y I Y5'
(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.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
_�Ujineyj Idee-_ 0 t 1) gut ✓
COUNTY CERTIFI ATIONBER COUNTY CERTIFICATI BER `
State of Florida,County ofState of Florida,County of C1
The forego: g instrument was signed before me this '`' day of The foregoing'nstrument was sign before me this Idday of
Y 20],by .�c� 4tiLL` �ly{" I ,20_,_, is I
who is personally known_or has produced a tl who is personally known_or has produced a
as identification. as identifica� n.
TAMP TAMP
Si ature of NotaryPublic Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
-�° LSEN
K RE�y 5. NIE1156
115637
C o m m i s s F F
.: conrn;ssion Ell res LL -
B�-
My \ KAREN
S. NIELSEN June 12.12. 2018 , \ Commission 4 FF 115637
oC My Commission Ex irest.,c,�. ARevised 11/16/2016June i 2, 201 8