HomeMy WebLinkAboutSubcontractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
---------��-sir►->, r'l.L c_ �. ►�5- __ 1��c� '� --,-------� havg agreed to be
(Company Name/Individual Name) 13�, f �r IhfXC k13 1—
the ---►t,- --------------- Sub -contractor for r_r-AC �3 f_-13v_ l d' n
(Type of Trade) (Primary Contractor)
For the project located at 3 2 Ol�-°- ��N N ---L3 L,V p -----------------------
(Project Street Address or Property Tax I D #)
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.
CONTRACTOR SIGNATURE (Qualifier)
GAOL --- CoS-T-I U -a-------------------
PRINT NAME
CGc �s 116q7--------------
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _—_ day of
2021 by
who is personally known _--or has produced a
SUB-CONTRAC-TOR SIGNATURE (Qualifier)
-----------------------------
PRINT NAME
�G ! .7 o o a COUNTY CERTIFICATION CERTIFICATION NUMBER
StateofFlorida, Countyofa!�tri
The foregoing instrument was signed before me this _a day of-�
who �per.naknown----or has produced a
as identification. as i
STAMP
Sign ureofNotaryPu lic Si r
Print Narge of Notary Public �r'
rrw�rr�
4 SfEPHANIEA. RODRIGUEZ
MY COMMISSION # GG 264321
EXPIRES: October 2, 2022
Revised 11/16201 'FO`,F :° [3ond�d Thru Notary Public Underwriters
LA7�SyA
rAREY
C�nNHIZSIId
re of NotaryPubli—----�wr�01 EXPIRIS
Oct
nt Name of Notary Public