HomeMy WebLinkAboutsub contractor hvacPERMIT # ISSUE DATE
the
PLANNING & DEVELOPMENT SERVICES
1� _1 Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Type of Trade)
�v4 2 S
1 Name)
have agreed to be
r
Sub -contractor for
(Primary Contractor)
For the project located at 20e-00 �'�n �e ��� � �z9, �z7
(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.
ZeCONTRACTft SIGNATURE (Qualifier)
� L, z
PRYINT NAME
COUNTY CERTIFICATION NUMBER
kl-46856TP,
State ot°F�erida�.County of dS
The foregoing instrument was signed before me thisC /
day of
�
I/% ` 2EDby a ) AKI `�
/r n f
who is personally known or has produced a�.(V t4 S "`
as id tification.
Signature of Notary Public
&66L
A25tnAAr'-
Print ame of Notary Public
-CO TRACTOR SI AT E (Qualifier)
PRINT'NAME
COUNTY CERTIFICATION NUMBER
State of�El4tit13on.
of��(� is
The foregoing instrument was signed before me this C f " p day of
I—c��.�, 21NC/ by
who is personally known _or has produced a „u j JUC7��
as n,'4'c
ati
STAMP
Signature of Notary Pub is
'qm6-�>S
Print Name of Notary Public
AMBER MARIE HUTCHINS
Notary Public -Minnesota
3, iiz
'4:..P" - My Commission Expires Jan. 31, 2022
Revised 11/16/2016
AMBER MARIE HUTCHINS
r Notary Public -Minnesota
'o;- ........... .... My Commission Expires Jan. 31, 2022
STAMP