HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT RECEIVED
SUB -CONTRACTOR AGREEMENT
SEP 17 2021
St Lucie County
Permitting
4.466mQL Rgyriy e osQz✓12 have agreed to be
(Company Name/Individual \Name)
the j w,rTP76: Sub -contractor for A#ws ya N
(Type of Trade) (Primary Coiltr ctor)
For the project located at (y `US lYfj�/'AEI : �gly'N I /L air .
(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 County will be advised pursuant to the
filing of a Change of Sub-contr for notice.
CONTRACT"OR SIGNATURE(Qualifier)
,9RINT NXME'.
ACC
COUNTY CERTIFICATION NUMBER
State of Florida,C;bunty of—Wr //�r'a 'y' ,)4
The foregoing instrument iwas signed before t11W this lay of f '
I- 20-21 by effigh IT • /'j ® ! /1
who is personally known %_or has produced a
as' cnti ication.
�1'4 F 0 4",
J
Z s•I•.►nIr
Sr a rc of Nota Pubhc
C9:EV-VL< 14, EI f-h
Print Name ofNotary,Public
Pit" CHERYL A. FINK
Notary Public - State of Florida
; Commission # GG 216951
°g,•' My Comm. Expires May 13, 2022
Revised 11116l201G
` - S B-CON TAACTOR SIGNATURE, WualificrV
5 rr-:I'(D 10�il n
PRINT NAME
COUNTY CERTIFICATION( NUMBER
State of Florida, County of J"!` • (�/] G�e/j7
The foregoing'instrument was signed Wore me lhis�� clay of
who is personally, known _m• has produced a
rs Id nttfcation.
1 STAMP
Signaturc'of Notary Public
Print Name of Notary Public
E
JENNIFER DAVIS
OMMISSION#GO95308
IRES; February 29, 2024
firu Notary Pubic Underwriters