HomeMy WebLinkAboutSub contractor agreement, ELECPERMIT# f [ ISSUE DATE
PLANNING & ;IDEVE)i OPYIEN`]C SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGRiGEmtNY'
.---L�JwJ!lLAt_11VgA have agreed to be
(Company 1NamcfIndividual Name)
the }(1 {`� Sub -contractor for'j[�V���
(TFvpe of Trade) (Primary Contractor)
For the project located at 1 Clown i _ IL4l ..� T �� l� ��i — —f
(Project Street Address or Property Tax ID ff)
It is understood that, if there is any change of status regarding ow' 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.
Cols rRAci-oR swN ATu as
b ,01.
PIEFNf NAME
COUNTY CSATOICATWNNUh1131 R
State of Flarida, County or_Mi_i_l 1
The foregoing lastromeetwassignedWare tnethis h � dayof
who is ptrsooaliy ImOC'i'n A or has produced a i
as idtntiicatior,
Ye
- 446t��
signature or\at blic
Print Name orNotary Public
SUB-COINTIir1GAil TE)RSiGNiAf�fc
a Ll t',
A R c_AIG&n?AurJl
PRINT, cnar£
EC OW30?_;�
COU:Yi'Y CERTIFICATION NUMBER
State ofFtorida,County of Tf.L.eaGE j'„
The foregoing instrumenn-tl!mzssignttfl hefore me this 1Tr Iday of
1 2,U, by 1"1��{�1 1
who is personalty 6nolrn for has produced a
as icicnti[icniton,
STAMP STAMP
(:Sj afire of No ,• ublic
�PSSIC0, SanCk-r-
Print Name otNotary Public
oti's`��'-:
KcLIiE Flo=�M�ti
-.or
?.: �', _
Revised ii/lSl1016 '��4P
Notary Pubiit: State o`
CommissiOn �IH QSZ. ?
�'f orrti:
My Comm. Ez:ireF :ar `4, 202:
Bonded through Natiora. yotar: Assr-
"�Yr •, JESSiCASANCHEZ
Commission # HH 084950
_, o= Expires January 49, 2025
`fFOF�t°4' Bonded TAm Troy Fain Insurance 800.385-7019