HomeMy WebLinkAboutSUB SIGN ON LETTERt_1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEl11ENT
(Company Name/Indixidual Name)
the EI -eC_ �P','C�'t ( Sub -contractor for
(Type of Trade)
7c""
(Primary Contractor)
For the project located at C1 eJ a— 1 y -r,
(Project Street Address or Property Tax ID #)
agreed to be
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
tiling of a Change of Sub-contf*tor notice.
CONTRACTOR SIGNATURE (Quer)
0 -r/ 1 J
PRINT FAME
,31 q _73
COUNTY CERTIFICATION/NUMBER
State of Florida, Count• of ► 1 Y1
The
The foregoing instrument was signed before me this (2 day of
who Is perso*ly known Zr has produced a
01_�'111 oe
SUB-CO,XTRACTOR SIGNATURE (Qualifier)
-3�;/L.n'�' Lam,
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing Instrument was signed before me th_LL_LLts _ dad+ of
0(- 4-0 bC . 201'4� by -) 0 k, v-\
who is personally known -.L/-Or has produced a
as (den fica Ion. a ification.
L f
STAMP
ublls SiShat re of Notary Public
N 01
/� L.C. �-£ � l �l •� s,� � ' S
Print Name of -Jotary Pub Print Name of Notary Public
Wy Tracy A. V*
o� s Notary Public NOT "„y Pubh Sm d FW4s
a State of Florida +P . Ra" M�
Comm# HH001137 My commmon GG 2�' W
Rcniscd 11/16P-016 Ell Expires 5/18/2024 atr Expit+N01mr1ox3
STAMP
COUNTY
F
L
O R
I D A
t_1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEl11ENT
(Company Name/Indixidual Name)
the EI -eC_ �P','C�'t ( Sub -contractor for
(Type of Trade)
7c""
(Primary Contractor)
For the project located at C1 eJ a— 1 y -r,
(Project Street Address or Property Tax ID #)
agreed to be
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
tiling of a Change of Sub-contf*tor notice.
CONTRACTOR SIGNATURE (Quer)
0 -r/ 1 J
PRINT FAME
,31 q _73
COUNTY CERTIFICATION/NUMBER
State of Florida, Count• of ► 1 Y1
The
The foregoing instrument was signed before me this (2 day of
who Is perso*ly known Zr has produced a
01_�'111 oe
SUB-CO,XTRACTOR SIGNATURE (Qualifier)
-3�;/L.n'�' Lam,
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing Instrument was signed before me th_LL_LLts _ dad+ of
0(- 4-0 bC . 201'4� by -) 0 k, v-\
who is personally known -.L/-Or has produced a
as (den fica Ion. a ification.
L f
STAMP
ublls SiShat re of Notary Public
N 01
/� L.C. �-£ � l �l •� s,� � ' S
Print Name of -Jotary Pub Print Name of Notary Public
Wy Tracy A. V*
o� s Notary Public NOT "„y Pubh Sm d FW4s
a State of Florida +P . Ra" M�
Comm# HH001137 My commmon GG 2�' W
Rcniscd 11/16P-016 Ell Expires 5/18/2024 atr Expit+N01mr1ox3
STAMP