HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
_P h/ •� �4 p ff V L 15.I have agreed to be
(Company Name/Individual Name)
the Carl3rA Ji c-rb f2 Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at 10 701 ,S.Oc.EA n/ D /2 — LU I 7- C 3 Ib 4IS I I
(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 -contractor notice.
CONTRACTO NATURE (Qualifier)
riKT-4ig Aj
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
The foregoing instrument was signed before me this ZZ- day of
C . 20E�J by
who is personally known _or has produced a
STAMP
Name of Notary
LASHAHNA INGRAM•RAHMING
MY COMMISSION # GG 275060
EXPIRES, r),nembes 20, 2022
Evna-; ; Public UademHers
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP