HomeMy WebLinkAboutsub agreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the ��� z 4-,442 -e?
(Type of Trade)
For the project located at 360
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
have agreed to be
r /
Ze-
�L-
(Primary Contractor)
(Project Street Address of Property Tax ID #)
,�z7
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.
TRACTOR SIGNATURE (Qualifier)
RINT'NA E
COUNTY CERTIFICATION NUMBER
State of-Rler-ids, County of . Loii+
M'.nne5oi{y �qt h
The_}foregoing instrument was signed before me this day of
JVC,164bt?f 20-k' by he-041 A . trJGnS
who is personally known _or has produced a MN Li(iret5 Lose
as identification.
Signature of Notary Public
1
Print Name of Notary Public
SUB -CONTRACTOR SIGNAT (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State ofT4m-idw, County of S } • I.d✓iS
The foregoing instrument was signed before me this IQ4hday of
n e ( 20.2aby e,'L� A • Ejjt,nS
who is personally known _or has produced a Ni iU bf "W c5 L, 461Af
as identification.
STAMP STAMP
Signature of Notary Public
�C"Cob►�h
P nt Name of Notary Public
MGM
BRANDON AC
ta
H JACOB SMITHNotary Public-soOBRANDON
Notary Public -Minnesota
My Commission Expire1, 202 My Commission Expires Jan 31, 2025
Revised 11/16/2016