HomeMy WebLinkAboutSubcontractor Agreement/ REVISED NEW CONTRACTOR PERMIT# / ISSUE DATE
PLANNING & DEVELOPMENT SERV
Building & Code Compliance DivisiRECETAI_
e e
BUILDING PERMIT' $
SUB-CONTRACTOR AGREEi1LENT DEC
Permitting D
St. Lucie C
C f 001 t ra have agre d��to be
1 /
(Co pang 'me/Individual Nat UAL `eJ�� �►-'`
the 70 0 r-1 KJt-' Sub-contractor for a
(Type of Trade)(—) (Primary Contractor)
For the project located at
C
(Project Feet Address or Property Tax ID#),
'it is understood that, if there is any change of status regarding out,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.
CONTRA JT R SIG A'r RI;(Qualifier) SUB-CO 'FACTOR SIGNAT "a"",RE ua r)
Ln dy
PRINT NAME PRINT NANIE(� 77
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County,of 5+. Lue{,& State of Florida,County of" , I 0
'T'hheerfforego`i_ng�instrument was signed before me this/, day of The
,fore going instrument was si<;ned before me this`i 4riay of
� ern e,Y ,20 by I I 1�l.�Qe Lyl I�� J"VKm f, ,20�by �E7"��
who is personally known_or has produced a who is personally known or has produced a
as identification. 1� as identification.
— STAMP y Cj��Wl STAMP
Signatur Notary Public V SiRna ure'of Notary Public ,
AnQaU krsodl- 8IrImInAhQM J�f/nY if Y
Print Nath ofNolary Public Print Name of Notary Public
JENNIFERDAVIS
you' ANGELABORSODI-BIPIMINGHAA l a` e;: MY COMMISSION#GG 953418
NotaryPublic-State of Florida ,,
t tit �o'`= EXPIRES:February 29,20.4
h v`s Commission x GG 249625 s had `;'
ReV7 20 Comm.Expires Aug ti6,2azz Bonded ihtuNottuy Public Undr�vtHers
Bonded through National Notary Assn. j