HomeMy WebLinkAboutHVAC Subcontractor-updatedPERMIT #
COUNTY
�F ' I.O R :A 0 A`
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Indisidual Name)
the }// Sub -contractor for
(Type of Trade)
For the project located at
(Project Street Address or
Tax ID
have agreed to be
(Primary Contractor)
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.
CONTRACTOR 6�:NATME (QuNilesY —7
PRINT NAME
COUNTY CERTIFICATION NUMBER/
State of Florida, County of—t �LC� i
The foregoing instrument was signed before me this 24 day of
20.L by 6\166Ln Y1J—) aid"o'yA
who is personally known ?(, or has produced a Va to
as idgnti4ca6pn.
Signature of Not"blic
5t itz-Lai I'. art�►�I -
Print Name of Notary Public
(Qualifier)
,L*.u(t1 M
PRINT NAME j
�24009
COUNTY CERTIFICATION NUMBER
State of Florida, County of _Mk 1_n
The foregoing instrument was signed before me this � day of
�C,2oa,hy ikjt �r t'•
who is personally known or hus produced a
as identification.
STAMP G 1 1✓
Signature of No a Public
�-
Print Name of Notary Public
SHIRLEYA SAUNIER
MYCOMAESSION # HH 049290
Revised 11/16/2016 p*; EXPIRES: January e 31,2025
oe'
`... °`` tiondedllau NaaiyPuMic Undmargers
SONJAANN LEWIS
Notary Public - State of Florida
Commission # GG 303171
't?a My Camm. Expires Mar 10, 2023
Bonded through National Notary Assn.
STAMP