HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
%A-rC¢-nn� 97 \d_�r c i2C d `r-5 have agreed to be
(Company Name/Individual Name)
the Sub -contractor for T a V[nc-
(Type of Trade) (Primary C tractor)
For the project located at
(Project StreetlAdaress 6rProperty
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.
C
NT CTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
f i_A_CCA_CiL'-�0—
PRINT NAME
CPC / yT�Fglq
COUNTY CERTIFICATION NUMBER
State of Florida, County of -Olez /ry " C k
The foregoing instrument was signed before me this L day of
Ille r, 20%by F41 ✓k l"r-9 Ce_,Lc!2�&
who is personally known _�Q or has produced a
as Identification.
Signature of Notary Public
MCA VO-r-
Notary Public Stab of Florida
Traci Velez
my
MY commission GG 837771
op Eapms 12/0812023
Revised 11/162016
Cif: S R , enAe_aj
PRINT NAME
F_e.(3 Cho.5y-So
COUNTY CERTIFICATION NUMBER ((��
State of Florida, County of GL`.
The foregoing instrument was signed before me this day of
oc-� ,20JD,by Ct, : dead.
who Is personally kuown _or has produced a
as identiific�ati/o'n..
STAMP _�V ✓`cQ,- & - STAMP
Signature of Notary Public
l al,Cc Veie2
Print Name of Notary Public
=LTr8CjVelez
" d Fbddu
GG 93777123