HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
UNTY
BUILDING PERMIT RECEIVED
SUB-CONTRACTOR AGREEMENT
PAPR 06 2018
Lucie County, PermitFILE CO
y C_ t CC r, --F ,C have agreed to be
(Company Name/Individual Name)
the f Eec—q-t1i C v!>L Sub-contractor for %kr
(Type of Trade) (Primary Contractor)
For the project located at qub f--)Uo
(Project Street Address or Property ax 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 orsub-contractor notice.
CONTRACTOR SIGN alifier) ONTRACTOR SIGNATURE(Quamer)
��k �30''U -' V e�--' Cwrc /1c.L C/I
PRINT NAME PRINT NAME
39L 1 15g5 ':� 7ell-1P_�
COUNTY CERTIFICATION COUNTY CERTIFICATION NUMBER
State of Florida,County of f-I State of Florida,County of � "3� P
Tie;foregoing instrument was signed before me this day of The foregoing instrument was sign efore me this day of
2&by 'LU) W \ 2b kit1D lU z�l1T
who is personally known V/or has produced a who is personally known or has produced a
as identificatio ` as identification.
STAMP STAMP
Signature if Notary Public ture of Notary Public\
Print Name of Notary Public Print NauW of Notary Public
KAREN S. NIELSEN MADE L/,LUZ veuscoGOSO
399
-: Cororn scion # FF 115637 _�. ! MYCOMMISSIONa
My Cornmission Expires 26,2020
EXPIRES No"~
June 12, 2018
Revised 11/16/2016