HomeMy WebLinkAboutSubcontractor Agreement (2) i
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
e
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
UV�C�� ���• have agreed to be
(Company Namei/In lividual Name)
the It ri Lai ! Sub-contractor for h W, QS
(Type of Trade) jj (Primary Contractor)
For the project located at 61 I • ill 91iti I T-dr-r
(Project Street Address 4 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 Sufi-contractor notice.
RACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
L)y, c c C& E6(,
PRINT NAME PRINT NAME
COUNTS CERTIFICATION NUMBER p COUNTY CERTIFICATION NUMBER
State of Florida,County of 5 T )- / a�. �` State of Florida,County of x P z yew
The oing instrument was signed before me this ) ) day of The foregoing instrument was signed before me this iS day of
20 by i�.1 /V e�' .20?by
wh 1 ersonally known or has produced a ')J C_ who Is personally lmown)or has produced a
as identification. as identification.
STAMP
Signature of Notary Pub c Signature of Notary Public
Print Name of Notary 911blic / Print Name of Notary Pu lic
�'srvyc; AUDREY B.HUMPHREY
_ MY COMMISSION#GG 300817 Ire ,ft* Notary Public State of Florida
Revised 11/16/2016 ' ;' o EXPIRES:Marcie 6,2023 i Chris L Woolley
9 My Commission GG 185665
13onded Thru Notaiy Public Uadervldters 1�
_�-- a h `' Expires 02/26/2022
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