HomeMy WebLinkAboutSubcontractor Agreement PERMIT# d O _ O Li H ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
• R I . -
BUILDING PERMIT SEP 2 3 2020
SUB-CONTRACTOR AGREEMENT
Permitting Departmant
St.Lucie County
1 v4, S l On e 6 r3, L 4.C. have agreed to be
( ompan Name/Individua Name) II
the �� Sub-contractor for yc^ .S 40 n 2, G►-o II� •--
(Type of Tra a) (Primary Contractor)
For the project located at -e It. ra R erce �
P � S S '�1 � -� ��c F ,, � � F L � 1 q 51
(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 SIG/N�ATURE( ler) SUB-CONTRACTOR SIIGGNATURE( alifier)
e�1r� CXv%' VA NiA-V-U G U V,c,Q(1\
PRINT NAME PRINT NAME
CGL15ACIL�5L1 C. &ct5a-� y5 �-1
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION ER
State of Florida,County of ,rC f�cr State of Florida,County of_ c
c�
The foregoin instrument was signed before me this , of The foregoing instrument was signed before me rthis Z�ay of
�^ ,20 by `C`�fJ Trfr01 l`G t1 202C),by P-f C`iJ l CPk JC7
who is personally known_or has produced a V v who is personally(mown_or has produced a
as identificatio as identi6 tion. °cP�??. �e'' Joseph
_ ,; seph Gomez
'2QSP�Y•Pl!e� Joseph Gomez _ _ Comm ission GG161404
Comr�"Ovemmber
GG161404 •. Expires:N hap16,2021
lure o ota ublic ., ��: Expires: 16,2021 S' nature of Not. ublic ,'��nuul0a,`` onded thru Aaron Notary
Bonded thru Aaron Notary
,III IIII\
sep�i Z, j s1°P dM �7�
Print Name ollNotary Public Print Name of Notary Pu lic
Revised 11/16/2016