HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
ILINTY Building & Code Compliance.Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
DEC 1 ` .
LA(ti s e1 'Ivi �_ '? 1 ,s-e I.- T have agreed to be
(Company Name/Individual Name)
the 0!:—:� ) fr_*,• c -C .4 ( Sub -contractor for WI l c
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property 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.
CONTPACTOR SIGNATURE (Qualifier)
V�lll _l��lr�S
PRINT NAME
261!/5
COUNTY CERTIFICATION NUMBER
State of Florida, County of
j�The foregoing instrument (
was before me this day of
who is personally known Izor has produced a
as
STAMP
,4 :'•'1'gE;,; DAWN FITZGER/11 D
ARYCOMMISSION # GG 1�23A8
", Qa EXPIRES: December 17, 2021
Bonded Thru Notary PubOc Urderwdters
Revised 11/16/2016
'�4� "Ornz"!��
SUB -CON CTOR SIGNATURE (Qualifier)
PRINT NAME
'A9Y3D
COUNTY CERTIFICATION NUMBER• State of Florida, Couutyof §t W0'J.,,
The foregoing instrument was signed
j before
me-Low
this 1 1 iday of
r' 20 I jby �lJ► II ! L o V V
who is personally knowAll"or has produced a
as identification.
STAMP
Signature of Kotary Public
L IWig 524=0
Print Name of Notary Public
W
DAWNFITZGERALD
MY COMMISSION # GG 162W
9, po EXPIRES: December 17, 2021
'•.For �;�.• Bonded Thtu Notary PuhDc tladerYRgerB