HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# �� D 9 / ISSUE DATE
PLANNING & DEVELOPMENT SERVI
Building & Code Compliance
BUILDING PERMIT 1
SUB -CONTRACTOR AGREEMENTr Z(%9$
�( �1C k L G U have agreed to be
(Company Name/I dividual Nam )
the i'url Sub -contractor for LRl4'01�I7� �yzs�'G[on
(Type of Trade) (Primary Contractor)
For the project located at /870y %%?4e1z d)1?&_4,e, A f fl Zits
(Project Street Address of 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.
W
A�4
CONTRACTA SIGNATURE (Qualifier)
oil llttks
Pr NAME
cX CGCl51 Ql5q
COUNTY CERTIFICATION NUMBER
State of Florida, County of ,t
T f regoing instrument was signed before
me this day of
20& by 1��! / / 41—
/ G
who is personally known _or has produced a� /J
as ide tific ti
Sign. a of otary Public
c
Print Name of
GEORGES LAINE
�~j A Notary Public, State of Florida
Commission# FF 123609
My comm. expires May 15, 201
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Y Ide,
PRINT NAME
c � 7,/
COUNTY CERTIFICATION
�.NM
\Uff B__E--R
State of Florida, County of 3..E-1t..1-1°
The foregoing instrument was signed before me this day of
20_L�, by ELA4.
who is personally known or has produced a FL hL
as id tification.
STAMP STAMP
Signature of Rotary Public
Print Maine of Notary Public
`apt y MELISSA JUDITH ESPADA
Q`t o NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF096192
�VOE 1Expires 2/25/2()18