HomeMy WebLinkAboutSubcontractor Agreement PERMIT# I — w 6 o ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
} r - Building & Code Compliance Division
j BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Na e/Individual Name)
the f,_Lg%�1 Lkc_ Sub-contractor for ���> of
(Type of Trade) (Primary Contractor)
For the project located at 774?J� � I t��L-�� l�1 �� � Ilia,El
(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.
CONTRACTOR SIGNATURE(Qhaliffe6 S CTOR SIGNATURE(Qualifier)
CE-f L1 IN,
! PRINT NAME PRINT NAME
)Aq
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of ST LJC_lt=
The foregoing instrument was signed`before methis30day of The foregoing instrument was signed before me this 36"day of
20L-7,by �V�� CA/MU PS 20�Z by GRkVV'� J NNJt�`` �
who is personally known •or has produced a who is personally known or has produced a ` .uc'
en ca on. as iden'
STAMP STAMP
Sig afore No ublic Signature of
Print Nain Print Name of Notary Public
;;�►."L : JILL PERGOLINI
W- 0-
IAY COMMISSION#FF817$.55. �'� JILL PERGOLINI
EXPIRES"September i4,.20ie MY COMMIBSIGN 0FF91 T855
aa>►�es o+xi con. \. EXWREB'�pl�IttbM 14,7da8
•ST,.
Revised 11/16/2016