HomeMy WebLinkAboutSubcontractor Agreement PERMIT# 1 0 _ 0327 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
J u-a n �r T► h e Z 1 Cc go�i S
E �magreed to be
(Company Name/Ind'viduaI Name)
the d I lel Sub-contractor for Z de n-f— CO mt.
(Type of Trade) (Primary Contractor)-6 'ryt,a.S Lxv t CA a g f
project 3 I �i g 1�Ock� e l� a (tea 1 CI . y
For the ro'ect located at C� � � �-(/J J
(Project Street Address or Prope Ta #) �/
�'M-a-yn `6l 3q O
It is understood that, if there is any change of status reg ing 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.
CONA&CTOR SIGNATURE(Qualifier) SUB-CO CTOR S AT Qualifi
PRINT NAME PRINT N
CCG 05 8' 7 C CC 1 3:3 0 7 2 9"
COUNTY CERTIFICATION NUMBER .� COUNTY CERTIFICATION NUMBER
State of Florida,County of 1_k a� If J Y) State of Florida,County of 4a•r+-I n
The foregoing instrument was signed before me this(//O da of The foregoing instrument was signed before me this o day of
1`�1C�1� ,20"by l DC�_ ( J�j O.✓d 1 2017by 1 Wt J-LQ,✓•4
who is personally known or has produced a who is personally]mown or has produced a
as id tification. as i ntification.
STAMP STAMP
S' n ture of Notary Public Sigridt4e of Notary Public
JCO-PrI-P2 Al, 106k h t-k,
Print Name of Notary Public Print Name of Notary Public
Jeanne K. White
Jeanne K. White = 1 COMMISSION#FF187820
COMMISSION#FF187820 � c EXPIRES:January 7,2019
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Q; :January 7
Revised 11/16/2 �o; EXPIRESN ,2019
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