HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the 14CC141n::7z1 Sub -contractor -for ('�jyiyrt.,
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tau ID #)
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 notice.
CO rO SIGNATURE uaGfier)
7,5r-44
W/ >Lc'04
PRINT NAME
COUNTY CERTHFICATIONNUMBER
State of Florida, County o6� / ./2,
The foregoing instrument was signed before me this ` /�.day/ of
20A by
who is personally known v has produced
as identification.
SiguSigu---mfmk'�f Notfiry nblic
-PrintPrint Name of
Revised 111162016
s NTRA o� n Sr�crrnrintE (Qaalia )
PRBVT NAME.
COUNTY CERTEFICAT10NNUMBER
R�
State of Florida, County of ,n7L t—V64y
The foregoing hutrumeott was signed before me this 1-3 day of
Z 20/�2`by �
who is personally (mown or has produced a