HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
RECEIVED
SUB-CONTRACTOR AGREEMENT
JUL 3 12019
ST. Lucie County, Permitting
k a,r 10L- K?c'h6 0-C �L have agreed to be
(Company Name/Individual Name) n
the �` ��' „ ( Sub-contractor forr/'��d may,l a— r�� b
(Type of Trade) (Primary Contractor)
For the project located at y ( 4 10-�� - / /a
(PrqJfec'f Street Addres or Property Tax ID#) �L :6
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 SIGNATURE(Qualifier) SUB-CONTRACTOR SIGN U (Qualifer)
P�NA E `iQ 1.S L� C U�.. P f� 1 AME�f' I a-- /
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ),o2'\Q State of Florida,County of -'L%4 e%,Iv�
The foregoing instrument was signed before me this 3 day of The foregoing instrument was signed before me this--6 l day of
,zo&by �hAc\ ��iCl.bac.l\ Jy\7� ,zolg,by<6+wt\a
who is personally known_or has produced a who is personally known_or has produced a C L 'L—
as
as identification. as identification.
STAMP STAMP
Signature of Notary PWblic Signature of Notary Plifilic
Print Name of Notary Public Print Name of Notary Public
r DEAN 'NN 5 I{.REEGIVENJS p
g S 3
MY COMEJII=5i+=,J#CG 02207. Y
EXPIRES:U'camber?6,200
q �<W�f.A�.
DEANNA MARIE GIVEN
Bonc4ed ihruacterurhez�'i V. MY COMMISSION#GG 02202
epsg L U he
�-"��� "'� �:i �,a•L, • ' EXPIRES:December 16,2020 k
Revised 11/16/2016
Bonded ThruNotaryPublic UnderAPers�
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