HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# �L ag ISSUE DATE
PLANNING&DEVELOPMENT SERVICES
Building�i-Code Compliance Division
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
��5 Q UAM b1r,%CA: ` tlnQ, _ have agreed to be
(CMU1021
Nanzedual Nam)
the Sub-contractor fors
(Type of Trade) (Primary Co`ntr_act-or) .
For the project located at' k C;(Q S
(Project Street Address or Property Tax ID 4)
It is understood that,.if there is any change of status regarding our participation with the above mentioned
project,the Building and.Code Reg*fion Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SWMTURE(Qualities) 3 GTOR STGNA rQRE(QaatHicr)
-
PRINT NAME PRINT NAME
COUMT CERTUTICATTON NUMBER COUNTY CERTMCA}TONNNNUMBER
1 State of 1:7orida,County of"='1S'�� ,�,}� -
The fo ia aft umentwies sdg ed dd,) of The foregoing k#rnoxut was steoed before me it �5' do of
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who personally(mown r has p need a who is persouaQy known-or has produced a
ss ban as ideat[Ratioa
Sr hip
IBEIRO tare of Nobnry public
sign Nary Pubirc Doreen Last-Slate of Florida ' 8fOrel
•. C N GG 158469 NOTARY PUBLIC
My Comm,Expires Nov 7.2021 . LORIDA
Priat Name of N mWed:1W6.V hiwgjrY ftfi, Print Name of Notary Comm!#GG043591
Expires 12/812020
Revised II1Ik016