HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #t: ISSUE DATE
71
COUNTY
047:
F 1 U R 1 D R
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
( ompany Name/Individual Name)
r
the �ICAL— Sub -contractor for
(Type of Trade)
have agreed to be
HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 2429-604-0002-000-1 / TBD LEWIS ST
(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/V--^o4nty will be advised pursuant to the
film hang o Sub -contractor notice.
CO RACTOR SIGNATURE (Qualifier) UB O CTOR SIGNA
01 WJ IFY" LJ
PRINT NAME IDDIN r NA XAV
R
COUNTY CERTIFICATION NUMBER
State of Florida, County of(_�__f'
The foregoing instrument was sign before me thi day of
20@1, by
who is personally known _or has produced a
as identification.
STAMP
ignature of Notary Public
►�l��s 0. h. 'C-�WIA fflL)0-'_
Print Name of Notary Public
YEE
State of Florida
howman
OF
Revised 11/16/2016 ion GG 294495
4/2023
ck-0,5vill I
COUNTY CERTIFICATION NUMBER
State of Florida, County of�K-I.I.IY'�
The foregoing instrument was siwd before me this2b day of
_, 202-1, b UU.'i
who is personally knowr �or has produced a
as identification.
V��r_A�kffl
LISAGIBESi^J�/ 1SS{C� I�A�'Vf'P'10 3185 Si
Signature of Notary Public p; ;: \ o;: EXPIRES; April 22, 20.1 i
t ^ AP
•'••9g' t4pc, Bonded Thru Notory Public Undcm^miter., !�
Print Name of Notary Public