HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT 12-13-17PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
3_8 12 ::7_7p'1 G have agreed to be
(Company Name/Individual Name)
the 18 rdi 0 n Sub -contractor for De La Hoz Builders, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 7406 San Carlos Dr, Fort Pierce, FL 34951
(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 �iof Sup -contractor notice.
NAME
cc C I4-1 V 14-1
COUNTY CERTIFICATION NUMBER
State of Florida, County of W 9r" f' X-UbL
The foregoing instrument was signed before me this 13 day of
WEma&'L ,2olk,by J_aJt �� t*-�t
who is personally known Z-r has produced a
as Identification.
/�
Signature of Notary Public
Print Name of Notary Public
as.w,
RHINA ALVARA00
". votary Public - State of Florida
Revised 11/16/2016 My Comm. Expires Nov 8,2015
», commission # FF175085
�� funded thro
ugh m=O Atun.
11'a-
SUB NTRACTO SIGNATURE (Qualifier)
J��M lak Jo— hL,60 40
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _ T L 19_
The foregoing instrument was signed before me this 1 Z day of
D,ec- .201?,by�fLek,"iAk Ad���
who is personally known ✓byor has produced a
as idea ' cation.
STAMP J��
gna e of Notary Public
Print Name of Notary Public
40, ON
E
ary Public State of Fbridehua Shane Alberico �4
Commission GG 02oa79resotlNa/2020
STAMP