HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE'
PLANNING & DEVELOPMENT SERVICES
Building.& Code Compliance Division .:
BUILDING PERMTI`
SUB -CONTRACTOR AGREEMENT
have. agreed to be
(Company Name/IndividuaT Name): �.
the ;C.lzoL)".Qi c ;q % Sub_contractor for, /` 221�,/ C.ii ('
(Type of Trade) (Primary Contractor)
For the project located. at. 'y �s� LO
.(Project Street Address or Prcperty:Tax ID
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Buildiiig'and Code Regulation.Division of St.. Lucie. County will be advised.pursuant to the
filing. of a Change of Sub -contractor. notice:.
TRACTOR SIGNATURE (Qualifier)' S -CONTRACT.O SIGNATURE (Qualifier) . .
PRIN NAME' PRINT NAME
COUNTY. CERTIFICATION NUMBER.: . . COUNTY. CERTIFICATION NUMBER . '
State of Florida, County of_ � C,4. State of Florida, County, of CaCA
The foregoing instrument was signed before me this 0. day of Tlie foregoing instrument was signed before me this day of "
~ r 1- 20 W by zo ts`, by
R 444, Ids t o � L(
who is personally knowas'.or'has.produced a who is personally Imownr . of has produced a
as identification. as identification.
STAMP STAMP
Signature of N . t ublic . signature of`N ublic
Print Name of Notary Public Print Name of Notary Public
DANIELLE JEAN NANNON <r� DANIELLE JEAN HANNON "
2p...•....o.'
MYCOMMISSION4 GG.950453 :*• ` ,: MY COMMISSION # GG 950453
Revisedoe° EXPIRES; May 23; 2024 =�9 . 'o`.; EXPIRES
. May 23, 2024
Bonded Thru•Notary' Public Und6 iters Bonded Thru,Nota
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