HomeMy WebLinkAboutSub Contractor Agreement FERMIT#
7 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
i
BUILDING PERMIT JAN 2 8 1011
SUB-CONTRACTOR AGREEMENT Permitting Department
St. Lucie County
_ F
i �YT have agreed to be
(Compan Name/Individual Name) C �e_�
the ��e�"�r �4�, Sub-contractor for J
(Type of Trade) (Primary Contractor) 11
For the project located at *-�o � �uQ e `� G IM wt d �-�— qhN r`OrT Pe tc e_
(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
WaCf Sub-contractor notice.
(Q alifier) SUB-CONTRACTOR I ATURE(Qualifier)
PRINT NAME T PRINT NAME
1 �C > waoi Lid3
COUNTY CERTIFICATION BER C UNTY CERTIFICATION NUMBER
State of Florida,County of State State of Florida,County of
The foregoing instrument was si ned before me thisa� day of The foregoing instrument was signed before me this a day of
3BD.3 20a�by; flVrl 61'L13�'' _204) by
who is personally known or has produced a who is personally knowor has produced a
as identification. s'dentification.
STAMP STAMP
Signature of Notary Public ig ature of Notary uDo
Print Name of Notary Public Print Name of Notary Public
KAREN S. NIELSEN
State of Florida-Notary Public 4Y'�' LASHAHNAINGRAM-RAHMING
�...., ;
?+ ■= Commission H GG 207484 :I=* MY COMMISSION;#GG275060
P,1y Commission Expires "• e_' EXPIRES:December20,2022
"• f •o
vF+nr��r June i2, 2022 ��FOF �' Bonded Thru Notary Public Underwdters
Revised 11l16/
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