HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# I r~ 5 ISSUE DATE
6-0
(Company _
the
(Type.of_T.rade)�
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT -
SUB -CONTRACTOR AGREEMENT
Sub -contractor
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roject:Strgg.Address=or Property Tax ID #)
have agreed to be
Contractor)
.� (�!� FL 3 �,k �(�7
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of5V,,nte
SUB=C CT SIG ( ualifiei)J
PRINT NAME
a�9�a
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this !� day of The foregoing instrument was signed before me this
aojc,!� by . �ai lcrV-- SaAo , 20____, by
who is personally known or has produced a KIL 5 5355etO5D 511-a who is personally !mown or has produced a _
as identification.
�2� Lau_ STAMP
ignatur ofNotary Public
Nro II 1170Q %sr)
Print Name of Notary Public
: " '/�'•;
=''.•����;`":
CAROLINA ROMAN
NotaryPublic- StateofFlorida
Commission # GG 133716
Revised 11/16/2016 ' •"„� , „"vv'
My Comm. Expires Aug 13, 2021
as identification.
Signature of Notary Public
Print Name of Notary Public
day of