HomeMy WebLinkAboutsubcontractoraffidavitblaisPERMIT # I SL(L V` 0'5 _ m _ I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
?[ 'Pal -K �' $ R 5 � �61� have agreed to be
(Company Name/Izldividua -Name)
the Cfec_(f&C.'/ Sub -contractor for ` 1 e �e� /� t e 42 PC7_
(Type of Trade) (Primary Contractor)
For the project located at S'�a�5 ��/,� Irk evc C �t"rtorr �ele
(Project Street Address or Property T ID 9)
d yf,;-1
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. -
�f
CONTRACTOR IGNAT E ( alifier)
H 1C. k1''lR r 04 A� (,izri i
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County ofinn lz1NJ L.I
The foregoing instrument was signed before me this 19 day of
Ane 20-50Y "1 , J McQeat
who is personally known _or has produced a
s i iification.
STAMP
Signature of Notary Public
��Sgbii �Yl��apfQ�
a4Sa° w\i� A
Ain.01.0.cof 4 Y.'1 •�AR� °•
b4 • �
JMY COMM. Expires
Apr 14, 2023
GG 323282
Revised 11115/2.016 s�®i+ �' O F *n
*ST TOR SIGNATURE fier(Quali)
m h -Q j'/`✓le-
PRINT NAN E
0 *0
COUNTY CERTIFICATION NUMBER
State of Florida, County ofz]EN� Pr'W_ QS:-.
The foregoing instrument was signed before me �this of
of 2 by 3-2i 4� L ��1 V [a
who is personally knownZor has produced a,
a
STAMP
of Notary Pub '
SppY q Barbara M. Resin
f°n NOTARY PUBLIC
ue of Votary Public °o — STATE OF FLORIDA
f $ Comm* GG346694
Expires 6/19/2023