HomeMy WebLinkAboutBuilding Permit Subcontractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
` ; ''' Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/ll A L q NGZ YI J E 1,r, G' c I e 'Z ►�C have agreed to be
(Company NN7 /Individual Name) .r� ;�
the ele 14 Gf tl Sub -contractor for 50A f fo'ac, Cushf, (661S
(Type of Trade) (Primary Contractor)
For the project located at
or Property Tax ID #)
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.
C TO ATURE (Qualifier)
(Lvct'l Sla �!C
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of rr��
The foregoing instrument was signed before me this O ( day of
T-5ts6 • 242i by Ql/ of rl 5 !a cY_
who is personally known ""or has produced a
as identification. 2
A STAMP
Signature of Notary .bfic
Print Na of Notar Public
RODJ.MA.INE
;.: .£ M'COA9iAS M#GG249819
•j gyp'. EXPMNo WIW4.2022
'`"°Fl.`.°•` 60aEeE7lm Nnldy PUCpc(AgWa
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
®�.� Ir✓��,lg�J�Zy�
PRINT NAME
6-6— vvo
COUNTY CERTIFICATION NUMBER
State of Florida, County of n&r-ri �
The foregoing instrument was signed before me this s I day of
u r.. 2O by TTD1-^ M4(Qn(JW
who is personally known jL�or has produced a
as identification.
rMP5
Sig �y,//6f No Public
l�yail .r(acK Print Nam of Notary PubBc 173