HomeMy WebLinkAboutsub-contractor agreement PER MIT# — ISSUE DATE
]PLANNING & DEVELOPMENT.SERVICES
]Building & Code Compliance Division
� r
RECEIVED
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAR 3 O 2022
St-Lucie Countv
Permitting
1CA(� COI�c Tl�2S have agreed to be
(Company Name/IndWidnal Native) 1
the iC L C!121 CI� Sub-contractor for �. {� A�5. 66va, Qtt CrmP
(Type of Trade) p
( rlma
rY Contractor) •
For the project located at 39 00- ���,p j���1 j�� � FT P1,EO'C'o 3g9g7
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above inentioned
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.
CON. TOR IGN TURE(Qualifier) SUB- RACTO SIG ATURE(Qualifier)
LEIS- GgnJA7�r `1�tHE51 MMW
PRINT NAME PRINT NAME
d�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of !• LN a-e State of Florida,County of <L
The foregoing instrument was signed�before me this � day of The foregoing instrument was signed before me this day of
202,by L- J �Ci 20.0 by t aft HallJo,
who is personally known4 or has produced a who is personally known_or has produced a
as identification. as identification.
':Ji
STAMP STAMP
aNryu� XX
Signature 8
Notary Public
�-
Print Name of Notary Public Print Name of Notary Public
JULIEA.MI#G(G)
E'
s oV Ply Notary Public State of Florida
:•, t, MY COMMISSIO380 S5 r MargaretE Moritepare
Revised 11/16/2016 + Q.'`,• EXPIRES:Au023 My Commission GG 214990
� BW WThruHatalydeimbrs fora Expires00/05/2022
r�,w
1 M1
_ 9
'.a ail a lrei f I 1 w9bomw