HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT: SERVICES
Y Q Building- & Code Compliance Division,
RUILDIN.G PERMIT
SUB -COI TRACTOR AGREEMENT.
have agreed to. be .
(Company dame/Individual.Name)
the (j Sub -contractor for E�
(Type of Trade) I (Primary Contractor)
For the project located at
(Project: Street Address or Property Talc ID #)
It is understood that, if there is any:change ofI status regarding our participation -with the above mentioned
1.
project, the Building and CodeRegulation Division of St. Lucie. County will be advised pursuant to the
filing of'a Change;of Sub -contractor notice.
CONT NA RE (Qualifier) X.qM,CTGRSIGNATURE (Qualifier) '
�L�X►.•
'PRINT NAME PRINT NAME'
COUNTY CERTIFICATION. NUMBER COUNTY .CERTIFICATION NUMBER
State of Florida, County of U} •LA&4-9— State -of Florida, County'of f5�, ud[.cx_• -
The foregoing instrument was si ned before et his day of The foregoing instrument was sFjne�d�b�effoorre�mee this day of
PJQ
19
20 b�. I . !� �J7lt�.�'� , 20, b�.w�a r` C,') 1 . J�(1
wh s p rsonally known J . or has"produced a I who is sonally knowa �o has produced a
iden ' ic 'on. I as i nti catio
STAMP STAMP
Signature of Notary u is i nature of Notary Pub i
I
Print Name of Notary Public i Print Name of Notary Public
"C". FARA:D. HERNANDEZ
MY COMMISSION #FF172419"" "A`'
FARA D HE
RNANDEZ
MY COMMISSION #FF172419
EXPIRES October 28. 2019
I. o
Revised 11/16/2016 (aW) 390.01 s3 . FloridallotarySeryice.com ;'. a� Flo?:': EXPIRES October 28, 2018
(407) 3s8-oi53. FloridaNctaryService.com