HomeMy WebLinkAboutSub-Contractor Agreement 11-30-17the
PERMIT #F
ISSUE BATE
PLA,NNIN'G & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
AUTLI)ING PERMIT
SUS -CONTRACTOR AGREEMENT
RECEIVED
NOV 3 0 2017
PE11tfiITTIIvG
St. Lucie County, FL
have agreed to be
Sub -contractor for L Y
(Primary Contractor)
For the project located at �p( U 4,( A
(Project Street Address or Property Tax ID #) "
(Type of Tradc)
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 Colmty will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRLNT NAME
COUNTX CIERTIFICATION NUM089
State of Florida, County of71 lf' ON RU'W-�
The foregoing Instrument was signed before me this,�kday of
ft 20 f by 0 t i a ►y(7. aw/L19vo
who Is personally known 1/or Im produced a
;TAMP
KRISTINA L GRUNZWEIQ
My COMMISSION 0 GG0a4067
EXPIRES January IS, 2021
Revised I I/16/2016
j6A___�X�
ONTRA TO ATUR� (Qualifier)
PRINT NAME
�- 4I
COUNTY CERTIFIC.ATXONNUMIBER
State of Florida, Conrity of TL Az� 44,'i`The foregoing /Instrument was signed before me this ,M day of
. L20 0-by a i ff, 5/ 1 vQ--
wiro Is personally known _or has produced a
as iden - stion.
- STAMP
atu a of Notary Public
Print Name of Notary Public
_�. %Jy KRISTINA L GRUNZW�IG
f : MY COMMISSION 0 OGOM087
EXPIRES January 18, 2021