HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the 2z lee--f_( 4 4 Sub -contractor for
(Type of Trade)
have agreed to be
Remo-r-t ku ess S'/-es z
(Primary Contractor)
For the project located at 10 10 S p'.o_ 06'e Qr-� ve. Q Q, I- Pry - �
(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.
U�
CnONTRACTOR SIGNATURE (Qualifier)
R U554 LUr�sp�en
PRINT NAME
')J7'��
COUNTY CERTIFICATION NUMBER
State of Florida, County of U U L(JI�Y�•-
The foregoing instrument was signed before me this day of
20_A, by ra., SS -Pi LI L mscL&-)---
who is personally known or has produced a
as identification.
Signa ut&e of Notary Public
y M
Print Nam of NotarbDiftMarie Bean
RY loo NOTARY PUBLIC
0 —STATE OF FLORIDA
= Comm# GG195204
S�Nce te�� Expires 4/20/2022
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
I
'PRINT0_Aa,J Z�� A4.77
ME
O*A
C FICA ION NUMB/Ej�R,
State of Florida, County of_&& 14— �j,y,
The foregoing instrument was signed before me this 1 I day of
__SU_4 SI— , 20 Abby PA
l tS Q
who is personally known r"or has produced a
as identilfikeation.
n
STAMP STAMP
Signaturqf Notary Public
Print Naiq of Notary Public
Cynthia Marie Bean
vNOTARY PUBLIC
STATE OF FLORIDA
Comm# GG195204
e Expires 4/20/2022