HomeMy WebLinkAboutSubcontractor Agreement PERMIT# 7
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
�,COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
iek L 1�1 , h,b i 4__have agreed to be
(Co m an Nam dividual Name �\ �`
g Y
the Y � V rv� e r Sub-contractor for 08-0 ,, � 1
(Type of Trade) (PiErtiq Contractor)
For the project located at )h9 LP--T--e(y �� - p)e_xn? f
(Project Street Addres r 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.
// /�Qu Qualifier) S16 , I ,' CTOR SIGNAT ualifier)
10-
PRINT NAMY PRINT NAME
CSC- l�l�83� 7
COUNTY CERTIFICATIONN+�NUMBER COUNTY CERTIFICATION NUM ER
NU
State of Florida,County of V y1 State of Florida,County of J'T C_xc_ \
The foregoing instrument was signed before me th-0—day of The foregoing instrument was signed before me this;tt day of
2i�p by _71 — ,20.X>by \ \L1+�'Acc�'CC1 ray
who is personally known_or has produced a who is personally known`or has produced a
as identification. C`^' as identification.
J1saYbl� lti•FQ `
ray OyasA SCAMP L STAMP
rc of Notary Public - Signature of Notary Public
\ ��flCffil `'C n.IV J�G9lWrc��2 \'IGs.
Print Name of Notary Pnhau� — Print Name of Notary Public
o?It.N, LASHAHNAINGRAM-RAHMING
60 MY COMMISSION#GG 2750
,- =through
PARE'
EXPIRES:December 20,2022 #GG2D0865
Sonded Thru Notary Public underwriters 27,2022
h. State Insurance
Revised I11162016