HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
o r" ,N�c(� z--�G„� g t��v�r�� % ; -Z , have agreed to be
(Com any Name/Individual Name)
thi Sub -contractor for Atl �C�.✓/ //<_ fJ,�_�.cai��. Z
r -1;
(Type of Trade) (Primary Contractor)
For the project located at 12-0 7 S S' '4' a'e '
(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 SIGNA��T%%URE (Qualifier)
iv l J".� •v t`r�l C
PRINT NAME
COUNTY CERTa e . V `�V i C)
TION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 5 day of
r 20(1y it ki i Yl W I '�-
who is personally known or has produced a
as identification. n ,
STAMP
Signature of Notary Putilff
Print Name of Notary} ubtic
=az_
B. SION # GG 300rs97
: March 6,2023Revised 11/1tary Public Underwriters
SUB -CONTRACTOR 91dNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION ]�ER�State of Florida, County of {�f16L�'
The foregoing instrument was signed before me this _',,�J dayi of MIX`
who is personally known for has produced a
as identification.
ST
Signature of Notary Pub is
Print
MY COMM1sSI0N # GG 3008i7
EXPIRES: March 6, 207.3
u
Bonded ThrNotary Public Under'!r .A