HomeMy WebLinkAboutSubcontractor Agreement PERMIT# , ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
7 3 t= I
Building & Code Compliance Division
r>a
- BUILDING PERMIT
Olow SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the (� \Z-e �,�,� Sub-contractor for
(Type of Trade) (Primary Contractor) eC�
For the project located at COWY Sb v,)lv.[l f-e d I/goo, �oA-SJ- L UL(P , 3 yq'r
(Project Street Ad�Property Tax ED#)
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.
l nzirm
CO J TRACff(3R�SI ATLIIRE lifier) SUB- ONTRIACtORSIGNATI (Qualifier)
P—idN
NAbIE PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
Stateof Florida,County of L(/��f` State of Florida,County of
The foregoing instrument was sig/need before me this day of The foregoing instrument was signed before_me thistoday of
,20 7/,;by /" ' i✓�9 i' l�
who is pe so�Uwn_or has produced a who is rs" y known_or has produced a
as identification. as identification.
STAMP STAMP
Signature of Notary Public
u blic /,f Signature of Notary Public
"'-�''P1 ' V �pS KE
ARYgssO
y� � NNETH NUNEZ • �t � 'I�P�'�� Also I�NNETH NUNEZ i
Print Name of Notary Public .Notary Public Print Name of Notary Pi J M,L t o State of Florlda
0 2 ,nSState of Florida " =Comm#GG933285
a COmmtt GG933285 .Atly
SARy KENNETH NUNEZ
4' ft x/"4llnk " t1' �171�F
��• °o NOTARY PUBLIC r �,pcARY ss KENNETH NUNEZ ^"
oQ °�NOTARY PUBLIC
o STATE OF FLORIDA o p STATE OF FLORID
Revised 11l16/2016 Comm#GG933285 Comm#GG933285 A
NCE t� Expires 1/19/2024 s�tice ls�$
Expires 1/19%2024