HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
bu NTY
.-L 'q 1P. 46 D" A,
ISSUE: DAM-,
PLAMING &DEVELOPMEN NTISERVICES
Building& Cbde: Cothpliance, Division, ,
BUILDING PERMIT'
SUB'-CONTRACTORAGREEMENT'
YL C C, pbo)o Olehave agreed tabe
mLC2:m1 —
(C6mpanyName/individual-Nalme),
the e_ke_C-+-r't Sub-contractor'for m
(Type of Trade) (,9rfinary Contiactdr)
For.the project located -'at
Itisunderstood that. ifthereis any change ofstatus�reg'ardihgour participation with the.
project, the Building and Code Regulation.- Division -of St:
, flie
filing of a Change. of Sub -contractor. notice
Col TOR GNATURE (Qualifier)
PRINTNAME
OR,
COUNTY CEI . CHFICAT-1 6NNUMIlm
State of Florida, County of �beach
The foregoing in . strument was signe . d before e tills ld -
20ILaby
who is. personally known as produced
- IXI."h if I
to iATAMP
1,001f
SUB -CON AC ATURP,
6 "17 i PAit�,��
PRAT NAME -
COUNTY' CERTIFICATION( NUMBER,
Stateof.Fioridu,:Ciwnty of.
T - he, foregoing, instrument was, signed beforemid thi.% �aylof'
- - - T by, 11V U
wholspersonallylinaim. )�Or has: Produe'edil a,'
asidentificatidn'..
STAMP
lry Public
- qZ-*'
z
I Oto
IIIIIii,