HomeMy WebLinkAboutLot 20 - HVAC SubAgreementthe
�g F�� ,� ��,�R„�,,:; PLANNING &DEVELOPMENT SERVICES
Building &Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
i I I P.�S C�r2AL A i r I� ed e�ric.� f�i ��2f
(Type of Trade)
ivjdual Name)
have agreed to be
Sub -contractor for �� �t.,t,�I j-
(Primary Contractor)
For the project located at /��� ,L(_) — � S f (,x
(Project Street Address or Property Tax [D #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, t�Building�tld Code Regulation Division of St. Lucie County will be advised pursuant to the
iilin�6f a �hanQ�,6f Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
P NT NAitiIE
���
CO i TY CERTI ICATION NUiVIBER
State of Florida, County o[ c� r • L-t�j�,
�����
SliB�NTRACTOR SIGN./ATURE/�(�Qualifier)
— ���Ul� r 1 /1'"V
PRINT N:��IE
COUNTY CERTIFICATION NiJ�IBER
�DD
State of Florida, Counh� of ��� L
The foregoing instrument was signed be�lf�o,�r�e�me,,th�is�� d,.ay�pof The foregoing instrumen�t�was sig�n/e�dphe�fpor�e m�e(th�is � daypof
�iC�'�tr , ?021, 6y d������-5�[-��t7�� , �0'_'S., by I 1 W`-' IC.I,C.. �ti�� V
who is personally known or has produced a who is personally known �or hus produced a
a tification.
� STAMP
' a re o i otary blic
Print Name of
. Y;� JENNIFERDAVERS�
����` °�•'•• Public -State of F�orica
:`�/`���F�. Notary
•_•� � �<' Commission # HH 05635'
..:'�o�FF`. My Comm. Expires Oct 22.2A ;n.
ilonded through National Notary
Revised 11/l6/2016
as identification.
•,,FOR i0�,,•
�c sT P
SigN<rtr�re of Notary Public � �/� L� G
��s,��
Print Name of Notary Public ���� �y
�'�`�`'s'�r