HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & DEVELOPAMNT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-5 0,g> blir -Li- to,-
(Com y Name/Individual Name)
the Sub -contractor for
(Type of Trade)
For the project located. at /—e,) 7` _> Uh rq U_ v a
Addressor Property Tax
have agreed to be
_W1 /A2 r
(Primary Contractor)
A `�,1- -�, -" al"6l eD' uC-0 ^ pD G � 0
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.
l�
C i TRA . OR SIGNATURE (Qualifier)
11
fi1NTL_/__
COUNTY CERTIFICATIONNUMBER
State of Florida, County of 6: L_ vc e
The foregoing instrument was signed before me thi"t day of
s , ?L�by �"�k f C C�L rr\ L -er
who is personally known l/br has produced a
as ide tification.
7
STAMP
(Signature of Notary Pu lie
1- k e Jf- �� 6 A -4- h -/--
p�� LISA FASNACHT
t�
_° !Notary Public -State of Florida
_• Commission # HH 183855
.�4 %4?§ My Commission Expires
October 09, 2025
Revised 11/1k016
)Od- IA5,a-
SUB- ONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _��G_
The foregoing instrument was signed before me thwZ/day of
l , 20)J by P' ,i c� j�V1 l
who is personally known or has produced a
as identifie tion.
t' STAMP
Signature of Notary Public
Print Name of Notary Public
OW
LISA FASNACHT
Notary Public -State of Florida
Commission # HH 783855
My Commission Expires
October 09, 2026