HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# �, !� _O ILA ISSUE DATE 8 i ca-1 1Gkoac)
_.�. .. ._.. ..— PLANNING&DEVELOPMENT SERVICES
Building&Code Compliance Division
BUILDING PERMTT
SUB-CONTRACTOR AGREEMENT
U{_ls ✓�l.�iYlbltl ` CMS . have agreed to be
(CompanyNamdI]n&vidua1 N `�'--
the -PI l,�t�Rb_t'[_l_Q_ Sub-contractor for l� Res cc- 1,,
(Type of Trade) (Primary Contractor)
For the project located at akr)SIZA &Q r- 1
(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 Co advised pursuant to the
fill of a Change bf Su tractor notice.
Qr.
CONTRACTOR SI {Qmiifur) SUB-CO NI R S[G ATURE(Qualifier)
c `
PR NAME PRINT NAME
D151-6ti5� c�5st
COUNTY CATION NUMBER COUNTY CERTINCATION NUMBBE�R�,�
state of Plorida, o C` state of Florida;County of I F►w—t
The forepr ag iastrowentwa5 signed me shfs �5[ of� ;� The f°re�g�ofag iaa/tiument was-sig(�aed�before me Nils day or
� 1by Na �' 'fitD �,limc �by Dayt& .Vr
who sally known or �- wh°is penomlt Imown�or has produced a
as identi oa as idendfIRIJOu.
Nam Lw&d
STAMP ST.aMP
signature of Notary Pnbile
010 EO RIBEIR0 A.Doreen Langford
NOTA
Notary Public-State o Florida
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p`f°L Nam My Comm.Expires Nov 7,2021Pri-tN"m°°f u STATE OF FLORIDA
0
`•`w� epndMnro:grtNaia+alloar/Assn. Comm#GG043591
ISVCE 19�1 Expires 12/8/2020
Rmv W H/I6/2016