HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # 17(66. 0 ? ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &. Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Nitne/Individual Name)
the T ler, 1 Sub -contractor for QY f' U r !��'6i I o c. -
(Type of Trade) (Primary Contractor)
For the project located at
Mq5
(Project Street Address or Property Tax ID #) 4�2q I L4 501 1 L10 —7 t 00q
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.
SIGNATURE (Qualifier)
31Q 21
COUNTY CERTIFICATION NUMBER
State of Florida, County of e%_
The foregoing instrument was signed before me thi� day of
/ 1 yr 'i 2821, bY���W't 1 ?HiA��
who is personally known 'nor has produced a
as identifica i
Signature of Notary Public
Print Name of Notary Public
PRINT NAME
2,146
COUNTY CERTIFICATION NUMBER
State of Florida, County of&_LiAoL
The foregoing instrument was signed before�e this day of
2021 by who is is personally knownas produced a
as idenml�
STAMP
Sie War4ref Noi ary Public
�Iwel( vk— �- f�(Wtjl.
Print Name of Notary Public
Y Pu'•; MARLENE RUBIO HARTMAN
RNNotary Public - State of Florida
Commission a GG 261489 of rti My Comm. Expires Sep 23, 2022
Revised l 1/16/2016 Bonded through National Notary Assn.
STAMP
�jAr ft"',. MARLENE RUBIO:HARTMANA Notary Public - Stada
��`Commission N Gw,,ac �,,,•° My Camm. Expires 022Bonded through Nationassn,