HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
iCOUNTY
BUILDING PERMIT FEB 2 U 2020
SUB-CONTRACTOR AGREEMENT ST. Lucie County, Permitting
have agreed to be
(Company Name/ln ' idual Name)
the L1& dA L, Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located atp'j - \A�� t 0, Sq
I
(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.
C NIRA IGN TURE(Qualifier) SU T- omoJl SIGNAT URE(Qualifier)
T NAME PRINT NAME C
COUNTY CERTIFICATION UMBER COU RTIFICATION MBER
State of Florida,County of������ State of Florida,County of
��k"
The fOEWding instrument
]]was signed before me this day of The foregoing instrument was signe before me this d�dayy of
su�Jby 11
who is personally known_or has produced a V who is personally known_or has produced a L
as identificati as identification.
-." �STAMP IMP
Signa re ot Notary IubGc Signature of Notary Public
Print Name of Notary PublicEN Print Name of Notary Public
KAREN S N1 ELSY public KAREN S. NIELSEN
f Florida-NOta -
$o,�`P"Bi�;State°nission# GG 2.()7484 -
ires ;a° -State of Florida Notary Public
� Com issi°n Exp •= Commission #GG 207484
PQe` MY C°m e 12,2022 -,9rF oP My Commission Expires
ioii`o; Jun ��°;,`, June 12, 202
Revised 11/16/2016