HomeMy WebLinkAboutSub-Contractor Agreementf--
PERMIT # I `1
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES - fir,
Building & Code Compliance Division E � r��o
r,
BUILDING PERMTr �Qd�
SUB -CONTRACTOR AGREEMENT
r
(Company Name/Individual Name)
the )�,IL'EC77PK'IFArJ Sub -contractor for
(Type of Trade)
For the project located at
(Project Street Address
(Primary Contractor)
have agreed to be
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 otice.
CONTRA OR SIGNATURE (Qualifier)
PRINT NAME
� COUNTY CERTIFICATION R
`tMBE, ,
State of Florida, County of, SF Wl.
The foregoing instrument was
signed before methis 4�ay oof
nnA20 �s�CA& TeSt- �
who is personally known _or has produced a
as identification. -
9A / STAMP
Signature o ot'�7 ary Public �v
WVW 1
Print Name of Notary Public
ELLEN VAUGHN
� @,:State of Florida -Notary Public
Revised 11/162016 = •- Commission d GG 270079
%? . •.?= My Commission Expires
October 22, 2022 .
SUIJ-CO��TCI7011, SIGNATURE (Qualifier)
I,li__ /_
PRIT017 V: ul
lib-aoo17393
COUNTY CERTIFICATION NUMBER
State of Florida, County of )_Gckit,
The foregoing instrument was signed before me this .. &rm,day
/J
of
20jai bby/y'' �V171eS P t-JG
who is personally (mown le., has produced a
as identification.
//l 4q-CLJ-Y'r tILQ-_a STAMP
Signature 0 otary Public
MAYCt(hC Ha par�
Print Nate of Notary Public
1
odr ,N Notary Public State of Florida
? Margaret E Montepare
�7 . , P� My Commission GG 214990
pia M1d• Expires 06/052022