HomeMy WebLinkAboutSub-Contractor AgreementSUB -CONTRACTOR AGREEMENT
..�� ccA L L have agreed to
Com N e
p y, ame/Itidrvidual Name)
the-
Sub -contractor for c� .:`PCIS
TYP. e of Trade
): (PdOiary Contractor) .
For the. project located: at 5JQ , i
(Protect Street Address or Property Tax .ID #)
It J§ 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: o the
filing: of a Change .of "Sub -contractor notice.
—CONTRAC R SIGNATURE-(Qualifiei)
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME NT NAME PRINTRXME
COUNTY CERTIFICATION . BER U
COUNTY CERTIFICATION NUMBER' _
State of Florida, County,of�k State of Florida, County of! jf r
- �{(^/
The foregoing instrument was signed"before me.this day of The foregoing instrument was signed before me this �� day of
20_a:by _ \ A�i, J ►i4tV� '20a by � v�
who is personally known or has i roduced a who is personally known or has produced a
as ide ea 'on. as ide Ifcat' n: I
I �
'STAMP
Signatu of otary Pub c STAMP'
Signs f.No sty Publi
t6�4
Print.Name of Not ry Public Print Name'of Notary b c
Cr* EmmetGe MecCoy C�
NOTARY PUBUC NOTARY PW*UQ
STATE OF FLORIDA STATE OF.FLORIDA:
.
Revised 11/16/ )Ctnnmfr FF994401 Comm# FF99M1
EV.I= 5/28/2020 E)OMS 51 W020
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
`
' ,/(. rs
(CName/I divid4al Name)
on y
the Sub -contractor for
(T e of Trade)
For the project located at
521 Z
(Primary Contractor)
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
project, the Building and Code Regulation Division of St. Lucie County will be advised
filing ofa Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
I ,
Ja-' • .
PRINT NAME
C7�7R 01_5�
00
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed, beforre me this day of
riie, F , 20� by to
who is pate s paany Imovne4or has produced a
as
STAMP
of
Print Name of
Craig Emmett® MaCCW
NOTARY PUBLIC
STATE OF FLORIDA
m#FFl i
Revised 11/k EOreg.W2812020
SIGNATURE
S
PRINT NAME
29
State of Florida, County of
agreed to be
f1/s _ SAA
mentioned
to the
The foregoing instrument was signed before mee this day of
G Gl�g20�, by 111 (( i" £✓
who is personally known
as
Print Name of
has produced a
STAMP
Craig Emme to M80CW
1VNOtARY PUBLIC
STATE OF FLORIDA
Comm# FF994401
F)1res 5/28/2020