HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
mil
S$ Lude count °
have agreed to be
(CN/Individual Name) U
the. 22 Sub -contractor for DP 1401
(Type of Trade) (Primary Contractor)
For the project located at A�4" c�
(Project Street Add ess or Prope y Tax 115 #)
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 Sub -contractor notice.
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CONIIIIICTOR SIG E (Qualifier)` NTRACTOR SI NATURE (Qualifier)
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PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Y % n
The foregoing
��instrument
pwas signed
jbefore me this 1 T day of
l/► 201 p, by VL.L ) 'C� 1 `litp
�
who is personally known or has produced a T V
as id e 'nation.
Sign atu a of Notary Public
UA-x� ksu�_
Print Name of Notary Public
Ea=F
ETRONA PASCUAL e Public - State of Floridamission # FF 995716Revised 1m. Expires May 24, 2020through National Notary Assn.
'Zla7S
COUNTY CERTIFICATION NUMBER
State of Florida, County of S7•LLICJJS
The foregoing instrument was signed before me this 'I "day of
CH ,201aby�j;�j�0.tL �RrrdL
who is personally known ✓ or has produced a
entifficationn.. /�✓�
STAMP STAMP
Signature of Notary Public
J (Z
Print Name of Notary Public
DAVID RAYMOND PRUE
NOTARY PUBLIC
STATE OF FLORIDA
Comm* FF192675
Expires 1/26/2019