HomeMy WebLinkAboutSubcontractor Agreement PERMIT# �. � + a , ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code.Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
UQ(a4c have agreed to be
(Company Name/Individual Name
the e_�ic__6 r t CCt Sub-contractor for Gt�
(Type of Trade) (Prnnauy Contractor) r
For the project located at ��
(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
i
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.
CONTRACTOR SIGNATURE(Qualif-e SUB-CONTRACTOR SIGNATURE( lifier)
��b Ci Yv CLYc
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of�� L(��1�� State of Florida,County of S
The foregoing instrument was signed
before me this �rZ-day of The foregoing`instrument was signed before me this %�day of
20tby \�ChC �1yy l� 1V JX 2 ` ,by CZ(l f-m`_J '
who is personally known or has produced a 1 I�if !�� who is personally known or has produced a Tli Q
as identification. as identification.
STAMP
Signature of Notary Public Signature of Notary Public
-� -,
Print Name Votary ubhc �y� °ms Print Name of Notary Phlic
=� StateF��F ,,u V,4UGHN
o°. C of oll
N +�.�PnY• d,youtary Public
FLO o q � �qU o ;
;;; {S GG 270079
My om;o„°a n/ota lyN s
Ssion Expires
oF�b��ss�on 2jOp blc ,' _ ,•r 22. 2e22
Revised 11/16/2016