HomeMy WebLinkAboutSub-Contractor Agreement(Company Name/Ind
the_ E1PO4V (?.
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERi*11T
SUB-+CONWRACTOR AGREEMENT
rr�`A-r`L '
�tG
have agreed to be
Sub -contractor for To y, n L>—) ; t M 5-
(Primary Contractor')
(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.
CC35TRACTORSIGNATLRE (Qunliner)
`3o61 .)iH.a
PRLINT NAME
COUNTY CERTIFICATION NETHER
State of Florida, County of St. Lke-t
The foregoing instrument arcs signedd War, me this - 6o day of
_�De�i�L ,2l)�by Mahn �(Iilarvr
who Is personally lmowa�_ or has produced a_
as ideatificatloa.
sigruits!e4pottry Public
Revised ;1 IN2016
SLB-CONkACTOR SIGNATURE (Qualifier)
PRINT A'A.LIE
COUNTY CERTIFIC+LTION NUMBER - -
State of Florida, County of
The foregoing instrument was signed heforeme this �Z_ day`of
20.10, by
wbbis persona)y knm%,T r has produced a
as i ntifrcation.
t ST&NIP
SAa Pab4 T
61'Ml M. iCNuIOA)
Print Name of Notary Public
asp•+ GINA M. KENYON
'a o4's
Notary Public -Slate of Florida
Commission a GG 015542
My Comm. Expires Jul 25.2020
•�" n4 "oondeditaough Nation Notary Assn.