HomeMy WebLinkAboutSubcontractor Agreement PERMIT# 'C�/ ��G I ISSUE DATE
.PLANNING"& DEVELOPMENT SERVICES
Building & Code Compliance Division
CF • -
RECEI
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT 0CT - r
5T. Lucie County, Permitting
have agreed to be
(Com any me4ndividual Name)
the � � L(J+ t1U �4"Ge Sub-contractor for VJ �l'V C0'�4iINC IUD LC C
(Type of Trade) (Primary Contractor)
For the project located at H I
(Project Street Address or Prope T 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 Counfy will be advised pursuant to the
' filing of a Change of Sub-contractor notice._
CONTRACTOR SIG MATURE(Qualifier) SUB-CONTRACTOR SIGNA TURE(Qualifier)
PRINT NAME PRINT NAME� t�3I�(
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of _Poi t State of Florida,County of `
The for going.instrument-was signed before me this day of The foregoing instrument was signed before me this day of
® �J�>20 by of C'i'►'tL�t/!�J - b i ,204 by
who is personally known_V or has produced a who is personally known_or has produced a
identification. " A.3,4e)tification. Note Public'State ot.F.lorida
" Notary Public State of FloridaDianelis Rodriguez Dianelis Rodriguez
M F1,90 / My Commission299407
FWn y Commission G ?ivIP7 ` — A�M�P"2/07l202 1 2/07/20a a of N a Public of Notary blic
rh 15,4
K�i,
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016