HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTi
SCANNED
PERMIT #
I
�
ISSUE q%T' Ne
'
®uny,
PLANNING & DE
Building & C,
SUB -CONTRA
(5:7de
( ompany Name/Individual Name)
the e- a-f- i, '/LA
( ype of Trade)
For the project located at
It is understood that, if there is any change of status
project, the Building and Code Regulation Division
filing of a Change of Sub -contractor notice.
- 1 C1/ L'I 1 /1 C.V V (L-
y��f
COUNTY fERTIFICATION NUMBER
State of Florida, County of /
Th foregoing instrument was sig fore me this oL&'day of
Zo_L by =---%T�
61ho'U17 y known or has produced a
as identification.
zo
Srgnature of Nota ublic
Print Name of Notary ublic
Revised 11/16/2016
•4P ;y ('tie .�
•�:��•• . ••off. AUDP.EYB. HU�,4PHREY
_'� e-- *: MY CUMDAISSIUN # FF 174772
`y',•.���o EXPIRES: March 6, 2019
x �'�e„ ��q;°P'� Bonded 1'hru Notary Public Undanvrite
,OPMENT SERVICES
Compliance Division
PERMIT
R AGREEMENT
for
(Primary Contractor)
Tax ID #)
RECEIVED
MAR 0 5 2018
ST. Lucie County, Permitting
have agreed to be
F7-1, A-e-cam 563y�
our participation with the above mentioned
St. Lucie County will be advised pursuant to the
gSUBT ` CTOR SIGNATURE (Qualifier)
P.RIN7IiNA1MEia
)V44—
COUNTn' CERTIFICATIONNUMBER ' rr
State of Florida, County of`J(/(� V
Th regoing instrument was sigt�e ore me thi*(aday of
f�
bli
pers 4own or has produced a
as identification.
Signature of Notary Public b�/� .
Print game of Notary Publ'
1
tin °:'see
A IDP.EY B. HUMPHREY
Sar *=
MY CUMMISSIUN # FF 174772
i• +°
%; ;�. t�° •'
v '
EXPIRES: March 6, 2019
Bondcd Thru Nolan,, Public Underwriters