HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# Otl 2-- 4n& SD ISSUE DATE oL—,Z 5 — 2,0 Zo
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division =RECEIVEDBUILDING PERMIT
SUB -CONTRACTOR AGREEMENT,
have agreed to be
the r l.C44o 'c'a, ( Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 27// S. /9N�s�rte� �✓t/ierc� /—�/ 3,922
(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.
CONIERWC16R SIGNATURE (Qualifier) SUB- ♦1 RACTOR SIGNATURE (Qualifier)
zoaASC{-avie
PRINT NAME PRINT NAME
IV/,*
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this_ day of
V"l-C 2a^a, by + S\j `It0.� f 0 Jet\
who is personally known _or has produced a
As identification.
STAMP
Signature of Notary lic
n% }1,MIS�'1OW It GG 6
EXPIRES: December 16,
3157 �/
COUNTY CERTIFICATION NUM /�ER
State of Florida, County of �Lu e-
The foregoing instrument was signed before%ame this �dayof
20, by I SNA wn (�"
is personally known '�or has
STAMP
11
RM
AM= ST VICTORblic - Slate of FloridaM. ission # GG 284187.
Expires Dec 13, 2022h
National Notary Assn.