HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
o��ISSUE DATE
�13g
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ike
anytName/Individual Name)
KCthe I Sub -contractor for
-- (Type of Trade)
have agreed to be
Ac`o �,�-JA-rs
(Primary Contractor)
For the pro jt ct located at I (N 'V tV\ A W "1 T-7 �)1ejN ��
�
(Prgject Street Address or Propert 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.
'TRACTOR SIGNATUI E (Qualifier)
le)
PRINT NANI1;
COUNTY CERTIFICATION NUMBER
Slate of Florida. County of
i
The foregoing instrument was sigu al before me this day of
11 J� zt► : by RI C 6 ?
is till Qrson: llc known _or has produced a
as idenlilicatiun. �/y
OLD y` STAMP
Signature of Notary Public
L r/J ■Ifn
•Y Soy vn=:;r; F+State of Florida
.-
Print Name of Notary Public�*R.4y
:.hG: 8
Conraussrur FF 208477
Itcvised 11r10;2016
c « ySo
COUNTY CERTIFICATION NUMBER
State of Florida, County of
61
The foregoing instrument was signed before me this 1 day of
zo�i by SJ IYlLU2f2Y1C1YlC�'e't
who is personally known V or has produced it
as identification.
e. 051✓70G� STAMP
Signature of Notary Public
�1� 1/� P, Notary Public State of Florida
IJLJ� Fryka Osborne
Print Name of Notary Public r� 4°� My Commission FF 208477
Flo Expires 04/14/2019