HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o
-- - - - - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
_ , have agreed to be
ompany Name/Individual Name)
the Sub-contractor for7 � �` cam
(Type of Trade) (Primary Contractor)
For the project located at a j (i�n\" Q
(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 tlWcEiVED
filing of a Change of Sub-contractor notice. OCT 0 5 2020
Permitting Department
St.l.ucie county
4'�'�' - 01
CO RA TOR ATURE O d M
(Qualifier) WWOONTRAC OR SI TUR uali ier)
PRINT NAME PRINT-NAM
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of 4�1%
v
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this '_--i day of
2oe--)I zt y U���� `��� +2PE)by
who is personally known or has produced a who is personally(mown✓as produced a
as identification. as identification.
��� 1 , Y�a►— _
STAMP � STAMP
Signature of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
.........e.: STELLA M HUNTER :.............�:. ST
c'_lA M HUNTER
ion Notary Public State of Florida
Notary Public-State of Fiorida
5tf ' Commission A GG 281062
o` Commission q GG 281062 L`' J ' M Comm.Expires Jan 23,2023
Revised 11/162 164"�p My Comm,Expires Jan 23,2023 y
Bandec through National Notary Assn. 3or ed;hraugh National Notary Assn.