HomeMy WebLinkAboutSubcontractor Agreement RoofSOU NTS
F L i) R [3. ➢1c
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Nam
the �L 0. _� t w, c Sub -contractor for
(Type of Trade)
have agreed to be
(Primary Contract r)
For the project located at CA v10
(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.
Ws4�__
CON TOR SIGNAT E (Qualifier)
PRINT NAME h—
COUNTY CERTIFICATION NUMBER
State of Florida, County ofl
The foregoing instrument was signed before me this �- day of
Zu?�' by �q j U
who is personally known or has produced a
as identification.
STAMP
ignature of otary P c
Print Name of Notary Public
GSM "N Notary Pu=otFloridaPhillip Ymax! MY Comrd� Expiraa 0
Revised 11/16/2016
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County oQ
The foregoing instrument was signed before me this _,Z day of
Vie. Zola, by �} hiJ yeas eT
who is personally known or has produced a FI. L
as identification.
STAMP
Signature of Notary Public
lreuar rete
Print Name of Notary Public
��jr'►u' TREVOR JEFFREY CORLEY
'� •'_ Notary Public - State of Florida
Commission # GG 961090
My Comm. Expires Feb 23, 2024
banded through National Notary Assn.
=1z1 FG. ZU 33Y7 -CJ