HomeMy WebLinkAboutSubcontractor Agreement PERMIT# a� 02 71 --r ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building,& Code Compliance Division
__
BUILDING PERMIT
SUB-CONTRACTOR AGREEMEN
OC 12, 6
ST.
Lucie County, Permitting
M �" C 0 jUt�Lcv5 have agreed to be
(Company Name/Individual Name)
the RAI(_ Lo t-J Utz(fi��� Sub-contractor for �A C.Ok ,`f'f/(.�crtL1(�
(Type of Tra e) (Primary Contractor)
For the project located at
(Project Street Address or roperty ax #)
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 SIGNAT (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME Jr
COUNTY CERTIFICATION NUMBER - COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County ofi
The foregoing instrument was signed before me thisc,a& day of
n The foregoing instrument was signed before me this day
day of
nky
20 ,by Iy1CGY1Ci4 PAS GoGe r ,20 '�,by���fD1�� (F��c7j CJ
who is personally known s r c 1 who is personally known�_or has produced a
a entification. ��� Notary Public State of Florida as identif
Di�nelis;Rodriguez �P � Notary Public State of Florida
y� My �o7107/2
on GG 299407 Dianeils Rodriguez
EY023 My Commie ' �CZ99407
STAMP Tres 02/O&
natu f Nota ublic nureofZNolqubli
Y)Aal S"Q�—
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016