HomeMy WebLinkAboutSub-Contractor AgreementISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
U
(Company Name/Y&vmidualvNanx)� V
the C � f r�l I'u� Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
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
filing of a Change of Sub -contractor notice.
FM
N` '-T0WSIGNAU TRE (Qualifier)
S 06'\ ( A ) -A r,r I I",
WRINT NAME--='1U
Z 27
RA'UjOR-SIGNATURE (Qualifier)
PI2INTaNr1MF
N I -A- k/1 10-
COUrJfY CERTIFICATION NUMBER p COUNTY CERTIFICATION NUMBER
�
State of Florida, County oftiv! State of Florida, County of-`-�-f-- "r��l�%
The foregoing instrument was signed before me this. F day of The foregoing instrument was signed before me this Q day of
20(1 by 6 Gil &y W4 tm �-)-R J') �!/� (� 2017, by
who is personally known _or has produced a 4rW. X • dJ Lwho is personally known _or has produced a 1
as
STAMP
Signature of Notaa ublic v
Print Name of Nof ry Public
AUDREYB. HUMPHREY
Revised 11/16/2016 I" - :*; MY COMMISSION # FF 174772
EXPIRES�Maich 6, 2019
p •.e •....::
Bonded Thru lJctary Public Underwriters
i CZT9LGe��.
mass •�aa�wx
as identification.
��) 1 STAMP
Signature of No a Ppbl
Print Name of Notary Public
Y
AUMEY B. HUMPHREY
<a
° A.+=
MY COMMISSION # FF 174772
J'{•�7.'ne•
EXPIRES: March 6, 2019
"•,', �F f q '
Bonded Thru Notary Public Underwriters
:i tv�aar+�°'aa^nw