HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE E
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT MAY 11 202l
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the JE � 2 C.TI'- �C e;' Sub -contractor for
(Type of Trade)
Parmittieg Department
St. Lucie County
have agreed to be
��mo-�. f�CcesS Sees �
(Primary Contractor)
For the project located at to )-oo S Out tJ(fen--, On'y-k_
(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.
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CONTRACTOR SIGNATURE (Qualifier)
QusseA L uM5u_en
PRINT NAME
Co 24� 9<�
COUNTY CERTIFICATION NUMBER
State of Florida, County of maji4 - �j
The foregoing instrument was signed before me this ll day of
Mft 20�, by ��_
who is personally known —yor has produced a
as ide ification.
4LW& 9-- J 4140,,�
Signat a of Notary Public
C" n-1-K tM
Print Name o otary Public
Cynthia Marie Bean
NOTARY PUBLIC
o -STATE OF FLORIDA
y = Comm# GG195204
El Expires 4/20/2022
Revised 11/16/2016
WE'
COUNTY CERTIFICATION NUMBER
State of Florida, County oft=_(��41,4—
Thee foregoing instrument was signed /before
^me� this
d td/a�y,, of .%
1 lQL1 20241 by 1 �➢ I W �(i(J/� J
who is personally known Yor has produced a
as identifi ation.
L�LW
A
STAMP STAMP
Signature 6, Notary Public
eo r► 4 u& AAd
Print ame of Notary Public
o�oSpRYgsso� Cynthia Marie Bean
NOTARY PUBLIC
0 -STATE OF FLORIDA
r Comm# GG195204
.s�NCE j9�� Expires 4/20/2022