HomeMy WebLinkAboutBuilding Permit Sub-Contractor AgreementISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
Tubular Building Systems
(Compam Namc lndividual Name)
the v; CL�s
( Type of i r e)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
4
t-- t 17le have agreed to he
Sub -contractor for ' 6 eo-u"It
(Primary Contractor) 6X
For the project located at 3915 Sunrise Blvd, Fort Pierce, Florida 34982
(Proieat Street address or Property flax ID 4)
It is understood that, if there is any change of status regarding, Our participation with the above mentioned
pr(?jeet, the Building and Code Regulation Div ision of St. Lucie C`aunty' %gill be advised pursuant to the
filing ofa Change of4ub-contractor notice.
C.'ON I'RAC'TOR SI(,NATt'RE tQuaiiner)
PRINT NA%IF:
C®C NTY C'FR-1 IFIC'ATION NI N1131-A
State of Florida, County of
The foregoing instrument was signed before me this
. 2Q—, by — who is personally known _or has produced a
as identification.
Signature of rotary. Public
Print Name of.Notary Public
Rey iced I U I6/2016
SC 13-CONTRACTOR SIC.NATIORE (Qualifier)
_c Ioc' C.U/1
C0F%TV CERTIFICATION NGINBER
State of Florida, Count} of O U yyL C�
day or The foregoing instrument was signed before me this, day or
who is personally kno►sn -V—/Or has produced a
as identification.
SFANtl'
SignatuQotary Public
- ' W Sa
Print Name of Notary Public
DONALD SLATER
Poly COML418SKM Al GGINI 374ll
j ,?a EXPIRES November 15, 2020 I