HomeMy WebLinkAboutSubcontractor Agreement PERMIT# r� _ t j ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
CRECEDBUILDING PERMITSUB-CONTRACTOR AGREEMENT
IVE
AN 1 8 2019e County, Permitting J
have agreed to be
(Company Name/Individual Name)
the ��cc—Az:1 0,{q,(, Sub-contractor for 64--WW6J D+2ESSO--
(Type of Trade) (Primary Contractor)
For the project located at C( r-71— :PI E_k�,e, (SLVb Fl Pi EWCr-'(__ &LI'11
(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.
ONTRACTOR SIGNATURE(Qualifier) A—Ull-C NTRACTOR SIGNATURE(Qualifier)
P NAME PRINT NAME
Owaelz_l laev- A t 1 ) (All I 1 G
ill
COUNTY CERTIFICAT N BER " COUNTY CERTW1CAfI0N'N"BVR-
State of Florida,County of • U45 State of Florida,County of
The foregoing instrument was sign before me this day of The foregoing instrument was signed efore me this day of
2011by AMO %L3 20j by r ICJ
who is personally known_or has produced a^Itsy 7 who is personally known or has produced a r)'L�
as ident�tdi as identification. t .
L�'
f
STAMP STAMP
Signature of Notary Pub is Signature of Notary Public
""' NIELSEN
Print Name of Notary )�� �i'' Print Name of
'_State of Florida-Notary Public.
Commission # GG 207484 ; � KAREN S. NIELSEN'"""'
0,fro?. My Commission Expires _* o_State of Florida-Notar
June 12, 2022 „� oPP` Commission #GG 207 l�� .,..
4c' `
�f���; My Commission Expiros
June 12, 2022
E 'P
y 7
Revised 11/16/2016 FF I L t: