HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• BUILDING PERMl'f
SUB-CONTRACTOR AGREEMENT
0 {_ I b \01 ,fvj (!__
(Compauy Nan1e/J11dividual Name) (L. have agreed to be
tl1e _--Jo.fr�' e ___ 0_±fo...L..L....:....:i C!�Q�L ______ Sub-contractor for ------------(Prin1ary Contractor) (Type of Trade)
For tl1e proj ect located at _2_4_3_6-_7_0_2-_0_0_02_-_o_o_0-_4 ___________________ _
(Project Street Address or Property Tax ID #)
It is ttnderstood that, if there is any cl1ange of status regardi11g our participatio11 witl1 the above mentioned
project, tl1e Buildi 11g and Code Regulation Division of St. Lucie County will be advised pursuant to the
Aaam t1a11
PRii'i'T N1\JVIE
CPC1458139
COUNTY CER'fIFICATION NUMDER
St11te of Florida, County of Palm BeachThe foregoing lnslrumenc \Vas signed before u1c tltis 1 0 <lay of_J_an_u_a_r�y _ __, 20 22 uy Adam Hall ,vlio is pcrsonnlly ltno,vn X or hns produced a _____ _
as idea tification.
Signature of Notnry Public
Krystal Courchene
Priul Name or Notary Public
Rcvtsed 11/16/2016
STAMP
AC TOR SIGNATURE (
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florid;i, County or&. L,ll�j�
The foregoing i 11stro0Jent ,vas signed before rne this I Q {bc.J:ly of_.,.,--
,..,,.. 2@by [cla&cl, J�
,vho is perso11nlly l<oo,vn / or hns produced n _____ _
ns I entlllcaflon.
Palm Pool and Spa Inc