HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ^ a" (� ISSUE DATE
PLANNING & DEVELOPMENT SERVI
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
APR 15 2621
ST. Lucie County, Permitting
have agreed to be
(Company Name/Inldividual Name)
the Efee4,e- Sub -contractor for �h SJ
(Type of Trade) r � (Primary Contraito/r)
For the project located at 3I3D (Du2cm�j�l. �� ,..er . �� 3q [ntU L
(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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
201A by 1�
who is personally known _or has produced a
SUB- NN C�TOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-4Ar. LO e%q
The foregoing instrument was signed before me thisi5 day of
N-C , 2ft%, by
who is personally known _or has produced a rr'
a identification. as identification.
STAMP �i STAMP
Si tore of Notary Publ' Signature of Notary blic
' WHAFWA IN�NG
s MY OMMISSM GG 276060
Print Na ub j"lRES:gf2Q,= Print Name of Notary Public
' si Bonded Do Ho>W Pmd Ao UndenhfLata
=o��Y P6BG•; DEANNA GIVENS
_ ^ Notary pubik - State of Florida
Commission x HH 086359
My Comm. Expires Jan 28. 2025
Revised 11/16/2016 Bonded through National Notary Assn.