HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
RECEIVED
Building & Code Compliance Division
• �
BUILDING PERMIT OCT 4 S 2020
SUB-CONTRACTOR AGREEMENT l,ucie.Oeunty
Permitting
Q e:kA GCY � /�� have agreed to be
( pad`Name/Individual a e)
the X! Sub-contractor for 4, 01,1
(Type of Trade) (�r, (Primary tCon actor)
For the project located at
(Project Street Address or Property Tax #)
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.
CO C R SIG ATURE(Q ) SLl - T CTOR SIGNATURE er)
RI AME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of: k.Ly GXe State of Florida,County of 4 _'L.-�Ie
VA
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
b e_A 20K,by `(t�-cN7 \A-) C�p ,20a.\by \-a1z0 -w' M�c
who is personally known_or has produced a 1. who is personally known_or has produced a �I-
as identification. as identification.
STAMP STAMP
Signature of Notary Folic Signature of Notary Sublic
Print Name of Notary Public Print Name fry 19?ublic D ANNA GIVENS
�•.^ Notary Public-State of F;orida
;. yr ors•., DEANNAGIVENS `� 8` Commission X HH 086359
iao� '; Notary
Public State of Florida �`toF `• My Comm.Expires lan 28,2025
Cominission�es Jan82852025 Bonded through National Notary Assn.
` My Comm.Expires
oF'Bonded through National Notary Assn.
Revis