HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT FEB m 3 2021
SUB -CONTRACTOR AGREEMENT
Permitting Departmen!
St. Lucie County
A I IAIW WW_n MD64e Ht-y)Tz t I nC_ have agreed to be
( ompany N me/dndividual Name)
the I Sub -contractor for 1 - Le
(Type of Trade) / B , (Prim
ary Contractor) (,1
For the project located at !� l �� t -` J �' ! �.�I Cc F,
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 -contractor notice.
C
COnnNTRACTOR SIGNATURE (Qualifier)
i LiJ?Aa I V1
PRINT NAME
COUNTY CERTIFICATION NUMBER /++ �Q
State of Florida, County of cA li i
The foregoing was signed before me this da of
+ 20J by
who is personally known or has produced a
as identifitation. %Q
Iture of Notary Public
u I I-� P-Al �
Print Name of Notary Public
SUT—COITMACTOR SIGNATURE (Qualifier)
&�ZMA �l�c�
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ' Wo
The foregoing instrument was signed before me this day of t
,200( by
who is personally known has produced a
as identificatiob.
STAMP 09&1Ad
T91,ture of Notary Public `
JLd1e'eXLLQJ
Print Name of Notary Public
yjKDte of Florida�Y °�=ta of Florida GG 281841 28184122
Revised 11/16/2016 "' W'v-
STAMP