HomeMy WebLinkAboutSub Contractor Agreement 02-05-21 ; 12:22PM; ;772-335-0860
PERMIT# �U 12 ISSUE DATE
-_ PLANNING& DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUDLDING PERMIT RECEIVED
SUB-CONTRACTOR AGREEMENT
FEB 0 5202
ST. Lucie County, Permitting
4 W G— have agreed to be
(Company Name/Individual Name)
the ��h��� Sub-contractor for ftlAS 4 r GrA P+ 1t�,•,,;�,�, PY�Lti,G{s
(Type of Trade) (Primary Contractor)
For the project located at Pi e rc'—
(Project Street Address or Property Tax ID#)
It is understood that,if there is any change of status regarding our participation v ith 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.
CON O SIGN TURF,(Qualifier) S OR SIGNATURE(Qualifier)
PRINT pNANIE ` f PRINT NAME c q , I
I 3
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of S'r .Like, State of Florida,County of S+
The foregoing instrument was signed before me this L day of The foregoing instrument was signed before me this Z a y of /
OVr An vl 20_*.by �}e � �aG Iirn�K own 20,,by Sys w n L Ja-+ 6
who is personally knownk-or has produced a o is personally known for has produced a
as identification. as i entification.
i
STAMP STAMP
Signature of Notar ublic Sheryl D.Moore Sign lure of olary Public
NOTARY PUBLIC
i STATE OF FLORIDA >n v;J o
Print Name o Comm#GG945 Print Name of Notary Public
� E 1�° Expires 1/1512024
;'P;, JEAN AMIOS ST VICTOR
i=� ��¢t-. Notary Public•State of Florida
2027
�`,� y�Q r Commission P GG 284187
Revised I V16/2016 :.'rQr A1y Comm.Expires Det 13,Assn.
Bonded through National Notary