HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
K- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY ~
F ,Y 0 R q,[ 3! A •
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
4'Z . f C�` C 1'7�( OffLc Tm o ka-I e�have agreed to be
ompanx ame/Individual Name)
the hco—Z r'C ' Sub-contractor for.flnP_
(Type of Trade) I (Primary Contra or)
For the project located at- - 1-)(4f1\ , c�_�,( 0 2 C-e
(Project Street Ad ress 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.
fir / /
NTRAC e ' GNATU 0 ualif er) S B-CONT CIOZSIG iQualifier)
PRI
J C N N A `t Q l t' �a � PRINAME
T NAME n \ca. P c
a.8Q,Sa353c
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County o�a(-k'r' State of Florida,County of Mark 1ar-/-•L/1
The foregoing instrument was signed before me this OC day of The foregoing
(instrument was signed before me thisc> /alp
day of
LI-ot d ,20 by)u 6$ cg nie JCP d/1al�rl ,20/4 by A/MAC" /1 eA fiPe/
who is personall known i•-' or has produced a who is personall known or has produced a
' '• yon. -II't•ntifi tion.
It "s STAMP STAMP
Si + 0!..-"Ir Notary P+blic Si a-i`e+ otary Public
Print +me of Notary Publi Pr t N e of Notary Public
;:toY :°=oaA RYAN LYNN COLLUPY
=o $ : RYAN LYNN COLLUPY € MY COMMISSION#FF170227
_` MY COMMISSION#FF170227 _ dr1
"ro•o> •',,�oFRo: EXPIRES October 21,2018
oP.. EXPIRES October 21,2018
Revised 11/16/2016 ''••°°F..`.`••-" (407)398-0153 FloridallotaryService.corn
(407)398-0153 FloridallotaryService.com