HomeMy WebLinkAboutRoof Sub agreement ��J • 0 t� RECE00 MAY 2 61017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) I
the� Sub-contractor for (/y /�
(Type of Trade) (Primary Contractor)
For the project located at //' P ld ,)
(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.
CONT OR GNATURE(Qualifier) SUB NT CTOR SIGNATURE(Qualifier)
PRINT NAME r )C'1__0d—V``' `� , G Vlddt�
PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of3i Luet State of Florida,County of bf• L U CI Ce
The foregoing instrument was signed before me( �this day of The foregoing instrument was signed before me this day of
tw 20L,by 1'1 t 1P 20�,by 'V(IrPA a� e
�Tnr C
who is personally know._or has produced a who is personally known or has produced a
I
as identification. as identification.
STAMP �j/1 , STAMP
Sikfmfure 57 Notary Public Signature of Notary Public
� NOta Pudic fate of Flonda
Print Name of Notary P ie s nsti D Paschal Print Name of Noit,
Notary Pudic State of Florida
'%; MY Commission FF 193030 f Cristi D Paschal
?or w Expires 0 1/2612 0 1 9 � MY Commissar FF193030
Expires 0 112 6/2 0 1 9
Revised 11/162016