HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTL.
1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
SCANNED.
Baq,
St Lucie County
have agreed to be
(Co parry Name/Individual Name)
the E lee-.r t , Sub -contractor for t 4_J !-i ,? n -e Qe c, e- 1 u ^ e_i-
(Type of Trade) (P amn ry Contractor)
For the project located at
�C_
(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. .
CONTRACTOR SIGNATURE (Qualifier) O RACTOR SIGNATURE (Qualifier)
PRIIVT NAME
COUNTY CERTIFICATIONNUMBER
State of Florida, County of ., . �,y 'mot t ,
The foregoing instrument
was signed before me this day of
who is personally known Y—or has produced a e
as identification.
STAMP
Signature of Notary Public
IC 6� IL
Print Name of Notary Public
E(4)-
=M97
o�: Florida
.. 978543
Revised 11/10016 VV
0
41CA- G"/r-r.) & -e rj= 5
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of±A WL%-Q.
d��
- The, foregoing instrument was signed before me this day of
t iSGuoA f' . 20fl by J`UIVJ*t�U
who is personally known ,Vor has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
LAURA R: CUBBEDGE
Commission # GG 022076
Expires Ocitder2t 2020
'�0„td``�� BondedThnlTrayFaintMursMetD!}385.7019