HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - GMS~ PERMIT. ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
~m6 6lli.vt ~1n.J ~ 01 r Cc..a:lrhco \bCj have agreed to be
(Company Namel1ndividuaI Name) .
the \--1Ltt Sub-contractor for Mt:'... ~~~oc-\iOf\,.J:hc .
(Type of Trade) (Primary Contractor)
For the project located at 571 }J~+\\e.'S .13\vd., Je.Vl~kn,R--?L\tl 57
(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.
~~ ~d~~~CONTRACTOR SIGNATURE (Qualifier) US:CONTRACTOR SIGI URE (Qualifier) '-
m iCtXACJ 0CVCl.:L\\ \ I
PRlNTNAME • PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of sr. hx:ie. .. State of Florida, County of L\U~n
The foregoing inslTument was signed before me tbi~ay of Tbe foregoing inslTument was signed before me tbis Zl~y of
~,2@,by MCAL~Q;tp~ ~W-,20~by Mi~\Mat.l""
who is personally known~or bas produced a _ _____ who is personally known £or has produced a _____
Signa e of Notary Public
STAMP STAMP
Sig ture of Notary Pubhc
K~\een ~nC1(') \Lc.uID D · COCJ\-\
Print Name of Notary Public Print Name of Notary Public
...·i#.'y:~·.. KATHLEfN GANNON Notary Pub~c SIaI8 of FIoridII~:(A~d MY COMMISSION #GG 914400 Kevin o Cook ,..!';'~;~l EXPIRES: JamJa/y 18. 2024 My CommissiOn GG 349462
····.~r.r.:···· Bonded Thru Nolaty PlJbllc lJncIeMIers Expires 0612712023
Revised J 111612016