HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Buildin & Code Compliance Division
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BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
��t l �JG'ru6rri, t�t 6CTiR�IL CO • have agreed to be
(Company Name/Individual Name)
the 1�7t,sC.-rtLIc04-- Sub-contractor for ( vokjot; C4-JSTrwvr%o-_�
(Type of Trade) (Primary Contractor)
For the project located at I S50 S WA)' rr\y,t2srl G Tmx-, - #443�—
(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.
,,?0_rURACT0R SIGNATURE(Qualifier) S&ReONTRACTOR SI NATURE(Qualifier)
C'w, P� ,mil I'►zPP
��-lYa1LOL-ISK.I� Pt1sT, fLt;Ti'
PRINT NAME PRINT NANIE
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUAIBER
Stifle of Florida,County of Sr•Luete State of Florida,Counly of it• L�e.t.t.
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The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 23R day of
'PFdZMSVA— 2470,by �ti;6C, Q\D�OIC0�15�'(�PV ,20 ZD,by CFIoRl.6S NOfPKA-Jd
who is personally known_or has produced a-DL I;0432-Z$I-7s-30r-0 wbo is per tall•kno t or has produ• i
as identification. vC/ as idc Gcuti t.
\A1P STAA'IP
signature of Notary tblic Sig uree of Notary Public
���� �. ►�VGi. Y»��t�@ �h ri S�vu. (�rc�y,�;t y
Print Name of No.ry Public Print Name of Notary Public
F �11YF�9 LASHAHNAINGRAM-RAMMING
-� ..` ..w�,- MY COMMISSION;I GG 275060`�
t�b�U +fit Pc� Notary Public State of Florida
�i•;,r EXPIRES:December 20,2.022 ap `F
, Christine Craveiro
Bonded Th.NoiaP/Public Underwriters ,�c My Commission GG 355732
°;N g cF Expires 07/162023
Revised 111161201,11
I/I G/201 ti or w