HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUH,DING PERMPT
SUB -CONTRACTOR AGREEMENT
I LL A fg) a/w A
have agreed to be
(Company Name/Individual Name)
the e e Sub -contractor for C D)e_
(Type of Trade) ') (Primary Contractor)
For the project located at �0 -7 -2 I ,�� �� f� J C. FP .3 V9W
(Project Street Address 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.
CON RA TOR GNATUR"E (Qualifier) SUB -CO CTOR SIGNATURE (Qualifier) )
PRINT AME PRINT NAME
l 7 ! V
COUNTY CE TIFICATION NUMBER
State of Florida, County of � wI
The foregoing instrument was signed before me this Z14 day of
AU605'r , 207. by `j ARE9 ► okNi
who is personally known --""or has produced a
7tTLI
#10nua4Notary Public State of Florida
Gregory S Kraum
,fMy Commission FF 232514
? o Expires 05l19��p
otary Public
RCA O' S V-4C p 14 -
Print Name of Nofary Public
Revised 11/16/2016
O (A �U
COUNTY CERTIFICATION NUMBER
State of Florida, County of �LLi
) . Lu C I P
The foregoing instrument was was signed before me this day of
L
who is personally knownL'�or has produced a
as identification. �%� .L(1 i; /` J , �l.(� ( STAMP
Signature of Notary Public
of rl rida
Print Name of N arkruiChsti D Paschal
My Commission FF 1.93030
Expires 01/2612019