HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# ISSUE DATE
PLANNING-& DEVELOPMENT SERVICES
M "'` Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
ScZ�I� SaIV CCt:�G��
have agreed to be
(Company Name/Individual Name)
the L/Q.c- ) +r'+ ti ZZ-11, Sub-contractor for
(Type of Trade) (Primary Contractor)
�c-� t
For the project located at Z �i `A�-�-�1 �SS ��r �I-
(Project Street Address or Property Tax ID#) coo•-,
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.
ONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGN E(Qualifier)
I, vcc.�-v.r
PRINT Ai IE PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of S LJLv�
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
r ,202 ky ` 20Zy
who is personally known_or has produced a 1 who is personally known_or has produced a
as identification. as identification. A
STAMP UJ/ STAMP
Si a ure of Notary Public Signature of Notary Public
Print aTme of Notary Public Print NaVni of Notary Public
HEATHER BURFOR Dblic ;`�PaYP�% HEAT=BURFORDRDp * State of FublicState of Florida Notary =+Commission # GG 183217 Commis217 Ex ires '%"� Q;c MCommission P ° y Coes., MyF6bruaty 06, 2022 '�"""� Febr
Revised 11/16/2016 'nu;ii+�`