HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
FLAMINGO SIGNS
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the ELECTRICAL
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for FLAMINGO SIGNS
(Primary Contractor)
For the project located at 6704 S US1 Port St Lucie FI 3415-501-0065-040-6
(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 E
a Change of
CONTRACTOR SIPPATURE (Qualifier)
ro
PRINT NAME
ES12001146
COUNTY CERTIFICATION NUMBER
State of Florida, County of n $ A VA
The foregoing instrument was signed before me this/ 2 S day of
III'%/} Y , 20,�, by 09017 L /I
who is personally known or has produced a i L
as identification.
Signature of Notary Public
�o3�7�z %yl�✓7�_
Print Nam
Notary Public State of Florida
ON Robert M Rios
• Expiml 04 0312025 103595
PRINT NAME
ES12001146
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 11" day of
.20.1-,( by j�/!�A
who is personally known �or has produced a 4 i `i
as identification.
STAMP
Signature of Notary Public
/l o Z 127 /Y
Print Name of Notary Public
Notary public State of Florida
Robert M Rice
My Commission HH 103595
orn Expires04/03/2025
STAMP
Revised 11/16/2016