HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - ONSHORE ROOFINGiPERMITH ISSUE DATE
I . • J. •• , ::" -,,'. ~ .:
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BtilLDING PERMIT
SUB-CONTRACTOR AGREEMENT
•__-;;::;:-:-:---:-;:~CJ~f)~S~\-:-;:il~'{(~~QL...l.i.C~Ol..,;C\l.CC\.~u~~5:l..'.irrxtC'..1.(-.J,w.G~".l..lLI ~~..l.l..l.S___have agreed to be
(Company NBfelIndividual Name) \ ,
the Q.,ouhC)G Sub-contractor for Me.\·Q~ (Oh~(hC(\
(Type ofTrade) \ (Primary Contractor)
For the project located at \51 tJe,f:\1e? Bvd .~~t=L . 3Lft57I
(Project Street Address or p;J.crty Tax ID #) i j
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 o>unty will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE (Qullllfier)
PRINT NAME
cou~,.y CERTlFlCATJON NUMBER
Stille of florida, Counly ot d:.\ \r \e
The fongoing uulruolent WAS signed ~fore me this ~dAy of
()::.-ttbe..--,zo21 by Mill l<-Ma::in ~
who b penonally kn ~or has produced a ______
STAMP
" 'ii~;ri'~. KATHLEEN GANNONl~ .... \ MY COMMISSION #GG 914400.' '.,\~.r:: %l EXPIRES: January 18, 2024 ~"..,j~'" Bonded ThN Notary PublIc VndecWrt.n
Revised 111\612016
l'RlNTNAME
25 \ £s-\
COUNTY CERTIFICATIO~ !':clIMBER
Stale of Florida, County of ____
The fore~olDg lostnllDtnt wu signed before me t ~y or
U-kbev ,2 ~vb'~~~Lr::Q~2::::L_
MP
....~;;:;';~.(, SHREISS 6.\UMGflRT£t; .1·~~·:\ Nolary Public· Stale of florida
',;~Qi Commission ~ GG ) II 842"-"..0' f\:.Q~... My (amm. E';Jirel Mu 1~, 202j
....... Bonded throcgh National NotdlY :'\\r.. I
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