HomeMy WebLinkAboutSubcontractor Agreement 09-25-20;03;52PM; ;772-33,5-0880 # 1/ 1
F yea -
11'PERMIT# �� 0/,(/�' ISSUE DATE
_ y PLANNING &DEVELOPMENT SERVICES
Building-& Code Compliance Division
BUILDING PERMIT
SUI3-CONTRACTOR AGREEMENT
I�it Lon ry•� have agreed to be
(Company N me/Individual Name) nn
the s{►,y Sub-contractor for 1 ej4e'r- CiY2I-"rtif,,�,.;, ; fYnd�s
(Type of Trade) (Primary Contractor)
For the project located at 6Y Pk+)S 4a--t.. C-04t
(Project Street Address or Property Tax ID#)
i
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.
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CONT CTO G AT RE(Qualifier) SUB-C N S GNATURE(Qualifier)
PRINT NAME PRINT NAME
5CG13) M-06 Scc. ,3) 15 a I.1srAIre
COUNTY CERTIFICATION NUM�B'ER,, COUNTY CERTIFICATION NUMBER
State of Florida,County of 54-1 State of Florida,County of
The foregoing instrument was signed before pme this�way of The foregoing instrument was signed before me this day of
!&6� —2CU,by ��Y� -')j4dJ,..1 20�__,by
who is personally know _or has produced a who is personally lm or has produced a
as identification. as identification.
STAMP �t�/' �J STAMP
Signature of Notary Pfiblic Signature of Notary Pirblie
Sheryl D.Moore ID
NOTARY PUBLIC Sheryl D.Moore
RI 10
Print Nam I RI@'c Prig R*'bF FLORIDA
y comn*GG945237
Expires 1115@024 a CmnrrW GG945237
i Expires 1/15/2024
Revised 111160-016