HomeMy WebLinkAboutSubcontractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
N i t 1cAq�- -Z- 11Z
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the F (0- C 4-f l✓ Sub -contractor for
(Type of Trade)
have agreed to be
i
(Primary Contractor)
For the project located at S S.3b ��CC J 6�� e_ C)
(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.
CONTRA TOR SIGNATURE (Qualifier)
e—c—
PRINT NAME
C2 q3 1 �
COUNTY CERTIFICATION NUMBER
State of Florida, County of s L� e�
The foregoing instrument was signed
before me this '1/ day of u
- 20 by i ' 1 i (� G hn- V � i�l�G"D .1"'
who i ersonally know _or has produced a
as identification.
Vivian Sue Blume
ignature of Notary Public _�c �_
NUNISSION 97M6
EXPj ES: April 29, 2023
V f CAS' �''���° �� ed Thru Aaron Notary
0i
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
[�j(, Le+6V('n69c&
PRINT NAME
Zz1JI
COUNTY CERTIFICATION NUMBER
Statc of Florida, County of L v e l e,
The foregoing instrument was signed before me this Co day of
U &4!, , 20 Ll , by C—�/U C I✓ W_i-11�
who is ersonally kno��_or has produced a
as identification.
(XI4 Z✓cG7/ a� STAMP
Signature of NotarttPublic
Print Name of Nota Public