HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division LREUNED
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BUILDING PERMITSUB-CONTRACTOR AGREEMENT nty, Permitting
�L0 nee have agreed to be
(CompanylName/Individual Name)
the E J,P c-t K.I n A L Sub-contractor for w °° ;Idele-
(Type of Trade) j I (Primary Contr ctor)) /
For the project located at
(Project Street Addresl 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.
8_C0 RACTOR IGNATURE(Qua iffier) UBC NTRACTOR SIGNATURE(Qualifier)
P T NAME PRINT NAME
0lulfLl°�� ' t )I
COUNTY CERTIFI ATION BER /► COUNTY TIF CAT ON BER t
State of Florida,County of-,� State of Florida,County of �V
The foregoing instrument was signed before me this J;�—day of The foregoing instrument was signed before me this day of
2019 by JAS �ln u lei— 20_6by 'I
who is personally known_or has produced a _-�U who is personally known or has produced a GrakL
as identificat n. as identificatio .
STAMP:
—� STAMP
Signature of Notary Public Signatur of Notary Public
Print Name of Notary Public Print Name of Notary
oMSt PG''�, KAREN S.
=RE—`-- N I C LS E N
IELSEN __//���°�4oState of Florida-Notary Public
Notary Public �/ Commission#GG 207484 nl�y' GG 207484.; � PdY Cornrnrssion Expiras
on Expiras lune 12, 2022
, 207.2
Revised 11/16/2016