HomeMy WebLinkAboutSUB-CONSTRUCTION AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the %r- ¢(� Sub -contractor for
(Primary Contractor)
For the project located at %yg� /ffl/ H7ci :�,VW 144e-',5' Ar
(P offer ct?S` tryeetrAddress 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. Ludie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
ONTO ' CyTORS/GNArTU/RE (Qualifier)
PRINT NA)dE
COUNTY CERTIFICATION NUMBER
State of Florida, County of� ss���
The foregoing instrument was si/gnned� before me this`' day of
by
who is personally known _or has produced a (R-- l.Az;
as identification.
STAMP
.gnature of Notary Public
Print Name of Notary Publi
AS14B C- Gi RAC4T R SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20_, by
who is personally (mown _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
Revised 11/16/2016
STAMP
„ LASHANNA INGRAM
Notary Public -
State of Florida ,
• ; : My Comm. Expires Dec 20, 201 B
'� F ,o�: Commission � FF 177249
Bonded through National Not
Assn.