HomeMy WebLinkAboutSub-Contractor Agreement)�SC?
PERMIT#
s�Iucieco, x
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
MR BWeltndiv dame)
the Sub -contractor for
( e of rade) ritnary Gtii tra-;.ar
µ
For the project located at 1�
( ec treet 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.
J�NTRACTOR SIGNATURE (Qualifier)
APRINT NAME
COUNTY CERTIFICATION NUMBkk
State of Florida, County of��
The foregoing instrument was signed before me thisf
0�u ,l 2by le ff � J `ryry S
who is personally known _or has produced a
as identifi lion.
STAMP
Signature of Notary Public
Print
"y PVBi�, ELLEN`�/AUGHN
r° :State of Florida -Notary Public
*= Commission # GG 270079
My Commission Expires
� October 22, 2022
Revised 11/16/2016
`§UACOPFTRAGTOR SIGNNATURE (Qualifier)
VVNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this QS day of
20W, by
who is personally khpwn _or has produced a
as identification.
Signature of Notary MIT
ate. ��\`\�'y
-PrintName of Notary Public
ON P&'i� JOSE F"ESNILLO
ar° 1c1-,5;ate of Fig Notes, Public
sy Cc
mmissio + rq 272747
;;� My Commi;;sto � Expires
'''�°�� �``� December 22, 2022
STAMP