HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
David Blumberg SO Envirocool
(Company 1 arxn Zndividual Dame)
the HC
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for Randy Ewing
(Primary Contractor)
For the project located at 771 Campbell Fed. F. Pierce, FL 34945
(Project Street Address or Propel Tax ID
have agreed to be
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
fill.g of a Cie of Sub -contractor notice.
NTRACTORIKIGNAT
Randy Ewing
PIT NAME
(Qualifier)
COUNITY CERTIFICATION NUMBE
State of Florida! County of Brevard
The fbi-egoing instrument was signed berore use this Aa of.
r
Who is personally known
as identification.
r�
ignaturevf Notary Public
Print Name of Notary Publi.e
Revised 11/16/2016
or has produced a
STAMP
�J
SUB -CONTRACTOR I ri TURE (Qualifier
`'-
tate Florida, Cooney ,. ]o
The foregoing instrument was signed before m -this day of
'.-V
UA& - 2Lb c-.
who is personally neon /or has Produced a
as identification.
Print lame of Notary Public
op INNary PubW Sate of Fide
,loan D Deattoal
STAMP