HomeMy WebLinkAboutAC SUBi
C6UNTY
F L O R 1 D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
LJAJDSTR0t-I ,Qt%R CoNA1TJ 0Ml�-J+ro ¢ "Rog(AJ6J have agreed to be
(Company Name/Individual Name)
the AL M Er!-JMILAL_ Sub -contractor for HOMECRETE HOMES INC
(Type of Trade) (Primary Contractor)
For the project located at TBD CARLTON RD / 3228-600-0001-000-8
(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.
CO CpT�ORaSICNATURE (Qualifier)
��vN
PRINT NAME
GC -
CON Y CERTIFICATIONNUMBER
State of Florida, County of 2d 1_WQ_1
The foregoing instrument was si d11beffore�/m�'e this day of
, 20�, by JC f 1 l Q X I
who is personally known V or has produced a
as identification.
Y 1e STAMP
Signature of Notary Public
Print Name of Notary Public
ps+► Notary Public State of Florida
Melissa D Showman
My Commission GG 294495
Expires01/24/2023
Revised 11/16/2016
_ G4.05cArt I
COUNTY CERTIFICATION NUMBER
State of Florida, County ofE=mo
The foregoing instrument was signed before me this 9 day of `�
20 ZI, by _ � 12A06 NW -A
who is personally known V or has produced a
as identification.
STAMP
e of Notary Public
U:54
Print Name of Notary Public
i;jVPU LISAGIBBS
MY COMMISSION # GG 198185
"rya: EXPIRES: April22, 2022
F�FI�R• Bondod Thru Notary Public Undcrwritom