HomeMy WebLinkAboutSubcontractor Agreement ISSUE DATE
PERMIT.# ZOO P r' -7 2
PLANNEXG& DEVELOPMENT SERVICES
Building&Code Comphanee Dh ision
RECEIVED
s
• BUILD[NGPEI8MIT MAR 2 A, 2020
SUIB-CONM4,CTOR AGREEMENT
ST. Lucie County, Permitting
have agreed to be
(Comgarty NarnerWividual Ni mne)
the Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at� t O Sib OAK _Q.0 C-C
(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 Coungrwill.be advised pursuant to the
filing of a Change of Sub-contractor notice.
C tCTGR SIGNATURE(Qualifier) - -!_ SUS-CONTRACTOR St4 tee
PRINT NAINttr PRIN r NAME
C0U1grV CFRTEFICATION NUMBER COUNTY CERTMICATiON NUMBER
state orFlu i4:Cn.."or ` SFat¢arE+kstiula,t Dour}u�
The foregoi iasd utassmttivas algued before roe this of The t'orcgoing instrumeatwas signed berore me this day or�^
�9b/,. i�tib � ��ty ► by fL;c�irzd •KJ .tom It
who is pees psk known/or is pradueed a who is pasomally la►owe mar bus predaeeti s —4
• � sractlP e r� �T,��p
5' aieof oury c o Drury Pub3i
.�,
Print Name Drury Public Print Name o otarp Public
Notary Public State of Florida
Jennifer Richmond Notary public Stab of Plaids
Revised l III
My,Cot"mi�"GG.294491 Al
Jennifer M Richmond
art Expires CW2lrJ= '� aT �Y Cotnmieoion GG 28M8/
aw P.xpires O6/21R023