HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
§ � M PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
s
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name
the I� I Sub-contractor for ����,�
(Type ofTrade) (Primary Contractor)
For the project located at a j5$ CLJ , �s r5 f Lux_�f_, aLk Ick sD 1 00&3 7�Z
(Project Street dress 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. #�I���S L
AURE(Qualifier��CONT SNT
(Q ) & CTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
Q9 cps i 4 5
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of`5f 1-k�' State of Florida,County of e L�(
The foregoing instrument was signed before me this �_/ day of The foregoing instrument was signed before me/t�hi/s� 'r day of
20 by 20J by TOLIVLP/J
who is personally known —0�"or has produced a who is personally(mown L'/or has produced a
as identification. as identific n.
STAMP STAMP
Signature of Notary Public Signature of Notai Public
Print Name offNotary_Public Print Name of Notary Pulific
FALLON TUTHI.LL
Notary-Public-State of Florida
•'e Commission rY GCo 032901 ,,�o1oaYP�B�,,,, FALLON TUTHILL
c. Not r a Public State of F or
My Comm.Expires Sep 22,2020 Y I ida
i�,OF FI°��� •®•_ Commission#r•6G032901
Bonded through National Notary Assn �^. °;;
Re ' My Comm.Expires Sep 22,2020
' " Bonded through National Notary Assn.