HomeMy WebLinkAboutSubcontractor Agreement i
F�_RMIT# ISSUE DATE
aoo�- OS/1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o
-- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Ain 'fs c R have agreed to be
(Company.Name/Individual Name)
the Sub-contractor for l5x Amwdod
(Type of Trade) (Primary Contractor)
For the project located at 2V 00 �NUy 43.2(P-6 OO-410- 4d d �S-
(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
I
iling of a Change of Sub-contractor notice.
CO OR IGNATURE(Qualifier) SUB-CO CTOR SIGNATURE(Qualifier)
�94 19) LAAIOR95
PRINT NAME PRINT NAME
!CSC. 14 4,21 cV 7 3 00 3 5-1
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of Jf'
The fo oin instrumeen�nt��was signed before me this d day of The foregoing instrument wassigned before me ttAi�s/�day of
2pg by ��L— ��� 0 20�',by
who is personally known or has produced a who is personally known or has produced a
Is identific 09mentification.
LXP
STAMP STAMP
Signature of Public U Signature of Notary Public
r
Print Name of Notary Public Print Name of Notary Public
.�;;•YPU<<• SHERRI KELLEY ����� SHARON MILLER
=_Commission#FF 999218 "A10�0%
Expires ?_® State of Florida-Notary Public
p =* *= Commission#GG 202177
i3ondedThru Troy Falnlnsurance800.385.1019 i7jt0, rt,:` My Commission Expires
%''�����"` April01,2022
Revised 11/16/2016