HomeMy WebLinkAboutSubContractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
G�yid2/FS GocriG G-'lZ-5-d- have agreed to be
(Company Name/Individual Name)
the 14�lAr,-rif�22•9L Sub -contractor for ��
W(-T. e of Tra j (Primary Contractor)
For the project located at
(Project Street Address or
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.
COUNTY CERTIFICATIONNUNIBER
State of Florida, Countyof sC . 4_t,1 e-i�. a
The foregoing instrument was signed before me this day of
20_4L,)� by
who is personally known _or has produced a
as identification. �n ,,,, �' """"
Pe� STAMP
Ag..t.6f'ktaryl? 1ppic
Print ame of Notary Public
�tP1 Stte + N6oW
�
Glynndolyn Hepworth
'7� tiny Comm on GG 11939E
"eorn°� Expires0711612021
Revise
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
�0 9yr
COUNTY CERTIFICATION NNUhBER
State of Florida, County of S7 • L u G I 'e,
The fore'groi/o$ instrumenitwas signne�d�before 'Te this/ l° day of
%'l _, 20 O by s--NI-fFM1d'� /v . �O (.t) e
who is personally known✓ or has produced a
as identification.
Si -m re of Notary P is
�7�yuu0)0
f Nt-
Print ame oomry Pub is
mar � Notary Public State of Flo do
+° Glynndolyn Hepworth IL
10 y, L My Commiwlon GG 11939E
'ppwQ Expires O7H9I2021