HomeMy WebLinkAboutSub-Contractor Agreementr�
PERMIT-# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
'BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
CyA ; AL IPLVMlSi,-►G S�VlCr_ST ire-• have agreed to be
(Company Name/Individual Name)
the PL-0m8ti-J G J Sub -contractor for �`/A , L i
(Type of Trade) (Primary Contractor)
For the project located at /', a)aW( atip— Z �
(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 o �a Change of Sub -contractor notice.
v
CO--T�RACTOR SI NATURE (Quali )
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PRINT NAD".LE
C -z) C. 0 lTS05
COUNTY CERTIFICATION NUMBER
State of Florida, County of _
The foregoing instrument was signed before me this day of
20(�, by —
who is perso own �or has produced a ��w�L
as id flcatio'- n //
STAMP
SgPaMu' o Notary Public
M
n/A40A rM tXmi.
Print Name of Notary Public
u,,-- DEANNA M GERHART
o: gP9;Y PUd'
MY COMMISSION #GG232255
€ ' EXPIRES: JUN 26, 2022
'FOFa Bonded through 1st State Insurance
Revised 11/16/2016
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SUB -CONTRACT SIGNATURE (Qualifier)
PRINT NAME
i✓�*: I498q&a
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'q W`6 C'
The foregoing instrument was signed �Lvbefore me this0 day of
20!D 11I
by l OG -t.'
who is personally known _or has produced a
as identification.
' a � LLD STAMP
Signature of Notary Public
Print Name of Notary Public
Notary Public State of Florida
TRACY CARVALHO
My Commission GG 950192
a Expires 03/22/2024