HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
-- - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
���� �%W N'8� �i�� l.►J have agreed to be
(Company Name/Individual Name)
the Sub -contractor for NvK04:�l CAIAi/ 904*J &,,j 10iv-1,
(Type of Trade) (Primary Contractor) 601
For the project located at S0,14 t 4\&l0t rW
(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.
CONTRACTOR SIGNATURE (Qualifier) SUB-CONVVtACTOR SIGNATURE (Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before ome this day of
24_, by A /) A i
who is personally known or has produced a
identification.
Ahio STAMP
Si nature of Notary Puloc
Print Name of Notary Pub
,." � - M1�F'�'tHNA ING��• �trl-j.�/jfiMJ(� .I :3
s Q1SS{Q�I #rGG 275080
-; onl3:. Der~emberU, 7{J22s
Revised 11/16/2016
COUNTY CERTIFICATION NUMBER ,
State of Florida, County of s .
The foregoing instrument was signed before me this day of
20___, by
who is personally known or has produced a
as ' entification.
STAMP
Signature of Notary PufAe
Print Name of Notary Public
- SL• R 4tcT�3
�i "nYega�� LASHAHNAINGRAM-RAHMING II
MY COMMISSION # GG 275060 E `
EXPIRES: December 20, 2022
Bonded Thru Notary Public Underwriters