HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT RECEIVED
SUB-CONTRACTOR AGREEMENT ,
JAN 0 4 2019
�
^ / ST. Lucie County, Permitting
—.1 Qc�Se� ,gc'yC� 1p/om�c(�. d have agreed to be
(Company Name/Individual Name)
the )0/U2'7z P2 Sub-contractor for
(Type of Trade) b" CC-- (Primary Contractor)
For the project located at 106$0 <)o • O�-A"j �& ' 2 0"fW:5 W 6W4,
(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 G A ualifier) UB-CONTRACTOR SIG URE ua ifi r)
PRINT NAME PRINT NAME
G CSG \ 51`�Saa/'5�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
t
State of Florida,County of!q.1.r�%`ql State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
20N by ��•a t Bch 011 S Vkywn VAI 2011 by �-by)n_. 0 �� LA
who is personally known or has produced a 'ID L who is personally known or has produced a
as identification. as identification.
STAMP STAMP
Signature of Notary Pu is Si nature of ry PublicI
Print Name of Notary Public Print Name 6f NotRig]
ic State of Floridailson DEANNAMARIEGIVENS esron GG 275484MY COMMISSION#GG 022023 10612022EXPIRES:December 16.2020
Revised 11/1O• r Bonded TFw Notary Public Underwriters
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